Lesson 1Anxiety assessment and nonpharmacologic interventions: communication techniques, teaching, relaxation, breathing exercises, use of anxiolyticsDis one cover proper worry screening, good talk therapy, patient teaching, relaxation and breathing ways, change environment, and when to step up to med for worry while keeping safety and patient wey know wetin dey happen.
Validated anxiety screening toolsBuilding rapport and active listeningPreoperative education and expectationsGuided imagery and relaxation methodsBreathing exercises and coping plansLesson 2Infection prevention and skin prep: chlorhexidine bathing, hair removal policies, antibiotic prophylaxis timing and documentationDis cover ways to stop infection like chlorhexidine bath, hair removal methods, time and choice for antibiotic before surgery, and paper work to cut down infection for surgery place.
Preoperative chlorhexidine bathingHair removal methods and timingAntibiotic choice and timingMRSA screening and decolonizationDocumentation of prophylaxis stepsLesson 3Pre-transfer safety checks: ID band, verbal identity confirmation, surgical site marking, consent, allergy check, checklist reconciliationDis detail standard safety check before move patient, like check who dem be, confirm consent, mark surgery place, check allergy, and match checklist to stop wrong patient, wrong place, and paper errors.
Two-identifier patient verificationConsent presence and completenessSurgical site marking standardsAllergy and alert band reviewFinal pre-transfer checklist useLesson 4Preoperative laboratory and diagnostic review: glucose, HbA1c, electrolytes, renal function, coagulation, ECG and chest imaging indicationsDis show how to pick and time preop lab and tests right, like glucose, HbA1c, salts, kidney work, blood clot tests, ECG, chest picture, base on patient risk and kind of surgery.
Indications for serum glucose and HbA1cElectrolytes and renal function panelsCoagulation studies and bleeding riskPreoperative ECG indicationsChest imaging criteria and yieldLesson 5Comprehensive preoperative nursing assessment: vital signs, medication reconciliation, fasting status, functional status, allergies, advanced directivesDis describe full nurse check before surgery wey cover vital signs, match med, fasting state, how patient dey function and think, allergy, and advance paper to help plan and hand over.
Baseline vital signs and pain levelMedication reconciliation processVerifying fasting and last intakeFunctional and cognitive assessmentAllergies and advance directivesLesson 6Pre-anesthesia evaluation: airway assessment (Mallampati, neck mobility), anesthesia risk stratification, ASA classificationDis look deep into full check before anesthesia, like airway tools, ASA class, other sickness review, how patient fit move, and risk level to guide anesthesia plan and watch during surgery.
Focused pre-anesthesia historyAirway exam and Mallampati scoringNeck mobility and dentition assessmentASA physical status classificationFunctional capacity and risk indicesLesson 7Informed consent verification and legal documentation: elements of consent, capacity checks, interpreter needsDis make clear key part of consent wey patient know, check if dem fit decide, paper standard, use interpreter, and check steps to make sure say e right and legal before cut.
Required elements of consentAssessing capacity and voluntarinessRole of surrogate decision makersUse of interpreters and language accessDocumentation and form reviewLesson 8Fasting and carbohydrate-loading protocols: NPO timing, clear fluid rules, preop carbohydrate drink indicationsDis explain proof-base fasting time for solid and clear liquid, when to use carb drink before op, and ways to cut risk of choke while make patient no suffer and no get sugar problem.
Standard NPO timing for solidsClear fluid rules and exceptionsCarbohydrate drink indicationsContraindications to carb loadingPatient instructions and adherenceLesson 9Specific assessments for comorbidities: diabetes history, insulin regimen, blood pressure control, cardiovascular risk assessmentDis focus on check for main other sickness like sugar, high pressure, heart problem, to fine-tune risk, guide med change, and plan watch and after surgery place.
Detailed diabetes and insulin historyBlood pressure trends and controlCardiovascular risk scoring toolsPulmonary and sleep apnea screeningRenal and hepatic function reviewLesson 10Preoperative medication management: metformin, insulin glargine, ACE inhibitors and perioperative adjustment algorithmsDis review adjust med like metformin, long insulin, ACE med before surgery, stress time, dose change, stop low sugar, and use clear steps to make med safe standard.
Risk of metformin and lactic acidosisAdjusting long-acting and basal insulinsManaging ACE inhibitors and ARBsDay-of-surgery medication holding rulesSample perioperative dosing algorithms
