Preoperative care

By preoperative care we mean all general and special care and preparation before surgery.

Sorting

 * Long-term preoperative preparation - about 14 days before the planned operation.
 * Short-term preoperative preparation - 24 hours before surgery.
 * Immediate preoperative preparation - 2 hours before surgery.

Long-term preoperative care
It contains basic as well as professional examinations, which should not be older than 2 weeks.

Basic examination

 * Blood tests- biochemical ( liver tests, ions, urea, creatinine ), hematological ( KO + diff.), Hemocoagulation ( QUICK, APTT ...), blood group and Rh factor.
 * Urine examination- urine + sediment.
 * ECG.
 * X-ray of the heart+ lungs.
 * SONO or endoscopic examination.

Specialized examination

 * Cardiology.
 * Diabetologické.
 * Neurological.
 * Nephrological.

Short-term preoperative care

 * Familiarization of the client with the planned performance and signing an informed consent to the operation.
 * Instructing the client about general hygiene.
 * Do not eat, drink or smoke from midnight (6-8 hours hungry).
 * Check regular emptying, if the client does not empty regularly, inform the doctor.
 * Introduction of a permanent urinary catheter in case of complicated procedures or urological and gynecological operations.
 * Preparation of the operating field- cleaning, shaving.
 * Tromboembolic disease prevention - miniheparinization, DK bandages.
 * Consultation with an anesthesiologist, subsequent determination of premedication and anesthesia.
 * Training of movements on the bed, coughing, sitting, getting up.
 * Administration of evening premedication.
 * Store all valuables in the safe.

Immediate preoperative care

 * Control of general hygiene, make-up removal and nails.
 * Storage of jewelry, dentures.
 * Introduction of a peripheral venous catheter.
 * Checking or re-performing DK bandages.
 * In the morning without breakfast ( diabetics 10% glucose and insulin application).
 * Emptying.
 * Measurement of physiological functions ( BT, BP, Heartbeat).
 * Miniheparinizace.
 * Administration of morning premedication.
 * Before being taken to the hall, change into a disposable angel.
 * Verification check with patient data.