CPAN Review Cards

What is the temperature range of a normothermic patient, according to ASPAN’s practice recommendation?
36°- 38° C, or 96.8° – 100.4°F

What does ASPAN stand for?
American Society of Perianesthsia Nurses

What are the criteria for instituting forced air warming in the preoperative period?
– If the anticipated anesthesia time is >30 minutes.
– Pt’s who are hypothermic preoperatively.
– Pt’s at increased risk for suffering complications from hypothermia.

Name some alternative active warming measures:
– Warmed IV fluids
– Warmed irrigation fluids
– Circulating water garments
– Circulating water mattresses
– Radiant Heat
– Gel Pad surface warming

Name some adverse consequenses of intraoperative hypothermia.
– Pt’s are 3x more likely to experience “adverse myocardial outcomes.”
– Prolonged and altered drug effects of many drug classes (including muscle relaxants.)
– Increased rate of pressure ulcer development.
– Increased length of hospital stay.
– Increased need for blood transfusion
– Impaired wound healing.
– Increased incidence of post-op infections.

What is the most commonly occuring post-operative AND post-discharge complication?
Nausea and vomiting. *affects 1/3 of surgical patients each year*

What time period defines the PRENATAL period of development?
Conception to birth

What time period defines the NEWBORN or NEONATAL period of development?
Birth – 1 mo of age.

What time period defines the INFANCY period of development?
1 month – 1 year of age

1) What time period defines the EARLY CHILDHOOD period of development?
2) The EARLY CHILDHOOD period of development is broken into TODDLER and PRESCHOOL stages. What are the ages for each?
Early childhood = 1 – 6 years of age
Toddler = 1 – 3 years of age
Preschool = 3 – 6 years of age

What time period defines the MIDDLE CHILDHOOD period of development?
6 – 11 (or 12) years of age

What time period defines the LATE CHILDHOOD period of development? When does it begin?
Usually around 11 – 19 years of age; begins with onset of puberty

What is the temperature range of a normothermic patient, according to ASPAN’s practice recommendation?
36°- 38° C, or 96.8° – 100.4°F

What are normal VS for a newborn?
Temp (axillary): 96.8 – 99.0 F or 36.0 – 37.2 C.
HR: 120-160
RR: 30-60
SBP: 46-92
DBP: 38-71
**remember that children <3 mos do not have a shiver response!**

What are normal VS for a 3 yr old?
Temp (axillary) 97.5 – 98.6 F or 36.4 – 37.0 C
HR: 80-125
RR: 20-30
SBP: 72-110
DBP: 40-73

What are normal VS for a 10 year old?
Temp (oral) 97.5 – 98.6 F or 36.4 – 37.0 C
HR: 70-110
RR: 16-22
SBP: 83-121
DBP: 45-79

What are normal VS for a 16 year old?
Temp (oral) 97.5 – 98.6 F or 36.4 – 37.0 C
HR: 55-90
RR: 15-20
SBP: 93-131
DBP: 49-85