By Debbie Hickman Mathis RN MS CNOR RNFA
This factor of Perioperative Nursing Clinics, visitor Edited through Debbie H. Mathis RN, MS, CNOR, RNFA, will specialise in Plastic and Reconstructive surgical procedure, with themes together with: The position of interruptions within the OR; Surgical web site infections; precise concerns for historical past and actual for plastic, beauty, and reconstructive sufferers; heritage and overview requirement for ambulatory plastic and reconstructive surgical procedure; and epidermis assessment.
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Additional resources for Plastic and Reconstructive Surgery, An Issue of Perioperative Nursing Clinics, 1e
Many drugs are related to each other, so it is important to know what drugs the patient is allergic to and what kind of reaction the drug caused. Food allergies are also key because several medications have a food base, such as eggs. We would want to avoid all egg-based products for this patient. Laboratory values vary from physician to physician and facility to facility. The nurse will want to check to see if the patient has had her laboratory work completed. She will also want to evaluate the laboratory work for any abnormalities that need to be alerted to the physician before surgery.
1 and 2). The latter is associated with a process of neocollagenesis in the deep dermis and the dermal fat junction. These histologic findings seem to correlate with the clinical findings of a reduction in intraoperative blood loss, reduction in postoperative ecchymoses, a more comfortable postoperative recovery, a rapid return to activities of daily living (ADL), and enhanced skin tightening and skin redraping as a result of the neocollagenesis. Kim and Geronemus27 also confirmed similar findings; the lipolysis produced by the Nd:YAG laser acting in adipose tissue is an elegant and minimally invasive option associated with demonstrable reduction in fat volume, irrespective of subject weight change.
Those surveyed identified that, if the patient was allergic to iodine, sterile water was the agent of choice, because CHG was not indicated for areas around the eyes and ear (Table 2). Table 2 Independent survey of plastic surgeons related to the skin preparation agent used Agent Below Chin Above Chin Below Chin but Allergic to Iodine Below Chin but Allergic to CHG Above Chin but Allergic to Iodine CHG 4% 8 — 8 — — CHG 2% with alcohol 12 — 13 — — Iodine — 22 — 8 — Iodine based with alcohol 2 — — 14 — PCMX — — 1 — — Sterile water — — — — 22 Results from an independent survey specific to this document.