Perioperative Experience Essay

Motlow State Community College
Department of Nursing Education
NURS 1420

Perioperative Written Assignment

Answer the following questions related to a client you followed in the perioperative experience.

1. What preoperative tests were done on your client. If no preoperative tests were done, discuss the purpose of a CBC, BMP, INR and UA for the client going to surgery. In-text citations may be appropriate.

Name of Test Result Significance of test IN THE SURGICAL CLIENT
CBC RBC Count, Anemia, Bleeding, and Infection (Pagana & Pagana, 2014, p.440, 526)
BMP Kidney Function, Glucose Levels, Electrolytes/Fluids (WebMD, 2014)
INR Clotting Mechanisms (Pagana & Pagana, 2014, p. 434)
UA Kidney Function, Infection, Hydration, and Diabetes

Describe how the client was monitored by the anesthesiologist or nurse anesthetist during the procedure. Include what type of anesthesia the client received and how the airway was maintained and monitored.

The patient received general anesthesia. The CRNA monitored the patient 's heart rate, blood pressure, temperature, EKG, PaCO2, PaO2, pulse oximeter, and Bispectral index. The airway was maintained through intubation.

5. Complete the table below regarding the anesthesia agents used during the surgical procedure.

Anesthesia Agent
(Generic/Trade names) Pharmacologic classification Why the medication is given INTRAOPERATIVELY Reversal Agent (if any)
Sevoflurane/ Ultane (PDR, n.d.) Volatile liquid for inhalation Induction and maintenance of general anesthesia
Propofol/Diprivan General Anesthetic Induction and maintenance of general anesthesia
Fentanyl/ Sublimaze Opioid Analgesic Supplement to general anesthesia Narcan

6. Briefly describe the physical environment of the operating room. Include sounds, smells, temperature, lighting and mood/tone of the room. Briefly describe the equipment used and the layout of the room. All five of these areas must be covered in three paragraphs or

She verified identity, checked for any allergies, and asked when was the last time you had anything to eat or drink, any mental or jewelry, and what procedure was being preformed. She then took the patient to the OR. In the OR she worked on the outside border of the sterile field. She called a time out to again verify patient and procedure. She retrieved any extra materials needed, and watched to make sure everyone maintained sterility. All procedural and material documentation and identification of team members was done by the circulating nurse. She also assisted the physician with the use of equipment, so that no sterile person had to touch any machines. Lastly, she handed the patient off to