Republic of the Philippines

NORTHERN NEGROS STATE COLLEGE OF SCIENCE & TECHNOLOGY

Old Sagay, Sagay City, Negros Occidental
(034)722-4120, www.nonescost.edu.ph

Bachelor of Science in Nursing (NCM112- L3)

LESSON 2: Nursing Responsibilities in the Operating Room and the Nursing Process
COURSE FACILITATOR: Lisette Grace B. Umadhay, RN, MN
Line, Shella Mae S. BSN III-LEVINE

MOTIVATION:
Look up the following words/ concepts in any medical book or online website and
provide a short description of each word.

A medical treatment given that is artificially induced loss of ability to

Anesthesia feel pain, done to permit the performance of surgery or other painful
procedures.
The first stage of anesthesia, begins with the initial administration of
anesthesia and ends with loss of consciousness. The patient
Induction phase
experiences sedation, analgesia (but can still feel pain), and eventually
amnesia.
The maintenance phase begins immediately following induction
Maintenance
of, and ends immediately prior to emergence from, a state of
Phase
intended unrousable unconsciousness.
Is a passive process with the gradual return of consciousness
Emergence phase after discontinuing administration of anesthetic and adjuvant
agents at the end of the surgical procedure.
General General anesthesia is, essentially, a medically induced coma, not
Anesthesia sleep. Drugs render a patient unresponsive and unconscious.
is a type of pain management for surgery that numbs a large part of
the body, such as from the waist down. This medication is delivered
Regional
through an injection or small tube called catheter and is used when a
Anesthesia
simple injection of local anesthetic is not enough, and when it’s better
for the patient to be awake.
Anesthesiologists are physicians specializing in perioperative care,
Anesthesiologist
developing anesthetic plans, and the administration of anesthetics.
 Give 5 difference between the 2 kinds of Anesthesia.

General Anesthesia Regional Anesthesia

1. Unconscious and have no
awareness or sensations
2. Provides complete patient comfort
regardless of the surgical duration
Numbs a small parts of the body and you
may possibly conscious or awake.
Provides excellent postoperative analgesia,
and may also reduce the inflammatory
response and prevent central sensitization.

3. Use in major surgeryp Use in minor surgery

4. Care of vital function is needed. Care of vital function is usually not needed.

5. The medication is delivered through The medication is delivered through

a mask or IV placed in the vein. injection or small tube called a catheter.

FYI. What do these terms mean?

GETA: General Endotracheal Anesthesia

- is an anesthesia produced by introduction of a gaseous mixture through a tube inserted
into the trachea.

SAB-CLEB: Subarachnoid Block or Spinal Anaesthesia

- A temporary loss of feeling in the abdomen and/or the lower part of the body.
Special drugs called anesthetics are injected into the fluid in the lower part of the
spinal column to cause the loss of feeling. The patient stays wake during the
procedure. It is a type of regional anesthesia. Also called SAB, spinal anesthesia,
and spinal block.

Exercise No. 3
Enumerate the different layers of the
Anterior ABDOMINAL WALL:
1. SKIN-
2. SUBCUTANEOUS TISSUE
3. SUPERFICIAL FASCIA
4. EXTERNAL OBLIQUE MUSCLE
5. INTERNAL OBLIQUE MUSCLE
6. TRANSVERSUS ABDOMINIS MUSCLE
7. TRANSVERSALIS FASCIA
8. PREPERITONIAL ADIPOSE
9. PERITONUIM

FYI. Define the following medical terminologies.