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Classify surgery

perry/potter ch 37

QuestionAnswer
A serious surgery involving extensive reconstruction or ateration in body parts and poses great risk to well-being. MAJOR SURGERY EX. coronary artery bypass, colon resection, removal of larynx, resection of lung lobe
A surgery involving minimal alteration in body parts, often designed to correct deformities. MINOR SURGERY EX. cataract extraction, facial plastic srgery, tooth extraction.
Surgery performed on basis of PT choice, not essential and is not always necessary for health. ELECTIVE SURGERY plastic surgery,hernia repair, breast reconstruction.
Surgery necessary for patient's health, will possibly prevent additional problems from developing, such as tissue distruction, impaired organ function, not necessarily an emergency. URGENT SURGERY EX. cancer tumor, artery obstruction repair.
Surgery that must be done to save life or preserve function of body part. EMERGENCY SURGERY EX. appendix repair, amputation, internal hemorrhaging.
Surgery seriousness. Major or Minor
Levels of surgery urgency. ELECTIVE, URGENT, EMERGENCY
Purpose for surgery. DIAGNOSTIC, ABLATIVE, PALLIATIVE, RECONSTRUCTIVE/RESTORATIVE, PROCUREMENT FOR TRANSPLANT, CONSTRUCTIVE, COSMETIC
Exploratory surgery that confirms diagnosis. DIAGNOSTIC SURGERY
Amputation or removal of diseased body part. ABLATIVE SURGERY
Surgery to relieve/reduce intensity of disease symptoms, doesn't cure. PALLIATIVE SURGERY
Surgery to restore function and appearance. RECONSTRUCTIVE/RESTORATIVE
Removal and transplat of tissue or body parts. PROCUREMENT FOR TRANSPLANT
Restoring function from a congenital anomalie. CONSTRUCTIVE SURGERY
Surgery to improve personal appearance. COSMETIC SURGERY
Atelectasis Collapse of alveoli, preventing the normal respiratory exchange of oxygen and carbon dioxide. Smokers at high risk for this.
Surgical Risk Factors Age,very young and very old, Nutrition, Obesity, Immunocompetence, Fluid and Electrolyte Balance, Pregnancy.
Obese patient risks Reduced ventilations due to pressure against diaghragm caused from the enlarged abdomen. Greater risk of dehiscence, and evisceration.
Perioperative nurse Responsible for safe, responsible,and effectivenursing care thru each phase of surgery.
Pulmonary Hygiene Frequent turning, deep breathing, coughing, use of incentive spirometry, chest physical therapy(PT).
Preoperative vital signs provide Baseline info to compare with or rule out complications.
Screens for preexisting abnormalties. Diagnostic Testing.
Preoperative Tests CBC, Blood Chemistry (SMA 7 or Chem 7), Coagulation Studies, UA, 12 lead electrocardiogram, chest x-ray.
Created by: nrs2b
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