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    Total Abdominal Hysterectomy Bilateral Salpingo Oophorectomy (Tahbso) Nursing Responsibilities Rationale Pre-Operative

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    Miar Quest

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    © All Rights Reserved
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    Total Abdominal Hysterectomy Bilateral Salpingo Oophorectomy (Tahbso) Nursing Responsibilities Rationale Pre-Operative

    Uploaded by

    Miar Quest
    291 views2 pages

    Original Title

    TAHBSO PRE OP

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    291 views2 pages

    Total Abdominal Hysterectomy Bilateral Salpingo Oophorectomy (Tahbso) Nursing Responsibilities Rationale Pre-Operative

    Uploaded by

    Miar Quest

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    TOTAL ABDOMINAL HYSTERECTOMY BILATERAL SALPINGO OOPHORECTOMY (TAHBSO)

    Nursing Responsibilities Rationale


    Pre-Operative
    Assess patient. The health history and the To ensure that the patient is fit to undergo
    physical and pelvic examinations are surgery.
    completed, and the laboratory tests are
    performed.
    Encourage patient to share details of her To gather pertinent data from the patient so
    menstrual history, the date of her last that the health care team and the patient can
    menstrual period, the events leading up to collaboratively create a plan that will promote
    admission and the current degree of vaginal health, address, and minimize risks.
    blood loss or discharge.
    Assess client’s knowledge of her condition and To ensure that the patient is not only
    the surgery. physically ready for the surgery but mentally
    ready as well.
    Perform cleansing enema as indicated. To prevent the release of feces while the
    patient is in surgery.
    Instruct the patient to be on NPO post- To prepare the gastrointestinal tract by to
    midnight. reducing the volume and acidity of the
    patient’s stomach contents and to reduce the
    risks of regurgitation and subsequent
    pulmonary aspiration.
    Perform skin preparation. The lower half of To reduce the incidence of surgical site
    the abdomen and the pubic and perineal area infection.
    may be shaved, and these areas may be
    cleaned with soap and water.
    Instruct the patient to empty the bladder and To prevent contamination and injury to the
    intestinal tract before she is taken into the OR. bladder or intestinal tract.
    Insert indwelling foley catheter as indicated. To keep the bladder empty throughout the
    surgical procedure.
    Initiate IV infusion (D5LR) as prescribed. To manage the patient’s fasting time and to
    replace extra fluid losses during the entire
    surgical procedure.
    Administer preoperative medications such as To help decrease the risk of postoperative
    antibiotic prophylaxis infections.
    Give the patient time to talk and ask To allow the patient to verbalize worries, fears
    questions. and possible misconceptions.
    Encourage patient to practice foot and leg To let the patient understand how to carry out
    exercises before operation. the exercises while in bed after surgery.
    Provide health education To let the patient be aware of her health
    • Loss of fertility if ovaries are to be condition after the surgery and why she needs
    removed in conjunction with the to carry out certain procedures or follow
    operation.
    • Discuss surgical menopause. specific treatments and to reduce the risk of
    • Discuss how sexual intercourse may anxiety after surgery.
    change.
    • Client whose ovaries are removed may
    complain of a decrease in libido.
    • Tell the client that once healing has
    occurred, intercourse should be pain
    free.
    Let the patient relax on bed until she leaves To make the patient feel comfortable and
    the ward escorted by HCPs who completes a reduce level of anxiety.
    safe transfer to the operating theater staff.

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