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PREOPRATIVE PHASE – begins with
the decision to perform surgery and ends
with the client’s transfer to the operating
room.
INTRAOPERATIVE PHASE – begins
when the client is received in the
operating room and ends with his
administration to the post anesthesia
care unit
POST OPERATIVE PHASE – begins
when the client is admitted to the post
anesthesia care unit and extend through
follow up home or clinic evaluation
OPTIONAL SURGERY – done totally
at the client’s discretion
 EXAMPLE: Cosmetic surgery
ELECTIVE SURGERY – refers to
procedures that are scheduled at the
client’s convenience
 EXAMPLE: Cyst Removal. Repair of Scars,
Simple Hernia, and Vaginal Repair
REQUIRED SURGERY – warranted
for conditions necessitating intervention
within the few weeks.
 EXAMPLE: Cataract Surgery, Thyroid
Disorders
URGENT/IMPERATIVE SURGERY –
indicated for a problem requiring
intervention within 24 to 48 hours
 EXAMPLE: Acute Gallbladder Infection,
Appendicitis, Kidney Stones
EMERGENCY SURGERY – describes
procedures that must be done
immediately to sustain life or maintain
function
 EXAMPLE: Repair of a Ruptured
Aneurysm, Gunshot or Knife Wound,
Extensive Burns, Fractured Skull
 GENERAL ANESTHESIA – inhaled or IV refers
to drug induced depression of the
central nervous system that produces
analgesia, amnesia, and
unconsciousness. Affects the whole body
 STAGE I: beginning
 STAGE II: excitement
 STAGE III: surgical anesthesia
 STAGE IV: danger
 REGIONAL ANESTHESIA – form of local
anesthesia that suspends sensation and
motion in a body region or part; the
client remains awake. Continuous
monitoring is required. Differs in terms of
location and size of the anatomic area
anesthetisized and the volume and type
of anesthetic agent used.
 SPINAL ANESTHESIA – local anesthesia
injected into the subarachnoid space at
the lumbar level to block nerves and
suspend sensation and motion to the
lower extremities, perineum, and lower
abdomen.
 CONDUCTION BLOCKS – sensation and
motion within various groups of nerves,
such as epidural block (dura mater),
brachial plexus block (arm),
paravertebral block (chest, abdominal
wall, and extremities) and
transsacral/caudal block (perineum)

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Perioperative Nursing

  • 1.
  • 2. PREOPRATIVE PHASE – begins with the decision to perform surgery and ends with the client’s transfer to the operating room.
  • 3. INTRAOPERATIVE PHASE – begins when the client is received in the operating room and ends with his administration to the post anesthesia care unit
  • 4. POST OPERATIVE PHASE – begins when the client is admitted to the post anesthesia care unit and extend through follow up home or clinic evaluation
  • 5. OPTIONAL SURGERY – done totally at the client’s discretion  EXAMPLE: Cosmetic surgery
  • 6. ELECTIVE SURGERY – refers to procedures that are scheduled at the client’s convenience  EXAMPLE: Cyst Removal. Repair of Scars, Simple Hernia, and Vaginal Repair
  • 7. REQUIRED SURGERY – warranted for conditions necessitating intervention within the few weeks.  EXAMPLE: Cataract Surgery, Thyroid Disorders
  • 8. URGENT/IMPERATIVE SURGERY – indicated for a problem requiring intervention within 24 to 48 hours  EXAMPLE: Acute Gallbladder Infection, Appendicitis, Kidney Stones
  • 9. EMERGENCY SURGERY – describes procedures that must be done immediately to sustain life or maintain function  EXAMPLE: Repair of a Ruptured Aneurysm, Gunshot or Knife Wound, Extensive Burns, Fractured Skull
  • 10.  GENERAL ANESTHESIA – inhaled or IV refers to drug induced depression of the central nervous system that produces analgesia, amnesia, and unconsciousness. Affects the whole body  STAGE I: beginning  STAGE II: excitement  STAGE III: surgical anesthesia  STAGE IV: danger
  • 11.  REGIONAL ANESTHESIA – form of local anesthesia that suspends sensation and motion in a body region or part; the client remains awake. Continuous monitoring is required. Differs in terms of location and size of the anatomic area anesthetisized and the volume and type of anesthetic agent used.
  • 12.  SPINAL ANESTHESIA – local anesthesia injected into the subarachnoid space at the lumbar level to block nerves and suspend sensation and motion to the lower extremities, perineum, and lower abdomen.
  • 13.  CONDUCTION BLOCKS – sensation and motion within various groups of nerves, such as epidural block (dura mater), brachial plexus block (arm), paravertebral block (chest, abdominal wall, and extremities) and transsacral/caudal block (perineum)