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Perioperative

AB
perioperativeentire surgery
preoperativedecision 4 surgery - reach or
intraoperativesurgery
postoperativerecovery - dismissal
curative surgeryremove/replace to restore function - hip
palliativerelief symptoms or enhance function
pre-existing med conditionsimmune, respiratory, cardio, hepatic
consent formagree 2 surgery, understands risks - benefits
nurse responsibilityget consent form signed
preop medsanticholinergics, anxiety, narcotics sedatives
spinal anesthesiain subarachnoid space, headache
epiduralextradural space - no h/a
ambulatory surgery akasame day, out patient surgery
critera for day surgerynot critically ill, not many hrs surgery, family to care
discharge critera for day surgerystable cardio, easily aroused, talk, intac refluxes
phases of sedation - daytitration, procedure, recovery
required surgeryplan few weeks/month
urgent surgeryw/in 24-30 hrs
4 stages anesthesiainductin, excitement, surgical anesthesia, medullary depression
classify pt according togeneral, physical and risk potential



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