Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
med surge Final
Ch 2 Sugery
| Question | Answer |
|---|---|
| Admission Status: ambulatory (out pt) | Pt enters sitting, has sugery procedure,and is discharged on the same day |
| Admission Status: Samd day admitt | Pt enters hospital,undergoes sugery asme day, remains for convalescence |
| Admission Status: Inpatient | Pt is admitted to hospital, undergoes sugery same day and remains for convelance |
| Major sugery | Involves extensive reconstruction or alteration in body parts that poses great risk to well being |
| Minor sugery | Involves minimal alteration in body parts; often to correct deformities; involves minimal risk |
| Elective sugery | Sugery Preformed on the basis of pt choice |
| Urgent sugery | Sugery Necessary for pts health |
| Emergency Sugery | Must be done immediately to save pt life or preserve function of body parts |
| Diagnostic Sugery | Sugerical exploration to conform dx |
| Ablation Sugery | Exscision or removal of diseased body part |
| Palliative Sugery | Relieves or reduces intensity of disease symptoms |
| Reconstruction Sugery | Restore function or apperance to traumatized or malfunction organ |
| Transplant Sugery | Replace malfunction organ |
| Constructive Sugery | Restores function loss or reduces as a result of congental abnormalities |
| ST: Anastomosis | Surgical joining of two ducks or blood vessels to allow folw from one to another (bypass) |
| ST:-ectomy | Surgical removal of a body part |
| ST:-lysis | distruction of |
| ST:-orrhaphy | sugerical repair of |
| ST:-oscopy | direct visualization by a scope |
| ST:-ostomy | opening is made to allow pallage of drainage |
| ST:-otomy | opening in to |
| ST:-pexy | fixation |
| ST:-plasty | plastic sugery |
| Deligation considerations for assistive personnel | Skills of assment (vit.) |
| Deligation considerations for assistive personnel | assist in post operative exercise |
| Deligation considerations for assistive personnel | Review turning method |
| Deligation considerations for assistive personnel | Inform staff to inform when pt can not preform exercise correctly |
| Deligation considerations for assistive personnel | Coordinat pt preperation/removals |
| Deligation considerations for assistive personnel | Instruct ap in proper precautions |
| Deligation considerations for assistive personnel | Observe/precaution of iv placement |
| Deligation considerations for assistive personnel | Steril skills |
| Deligation considerations for assistive personnel | Iniating and managing post/ pre operative care |
| Deligation considerations for assistive personnel | to apply nasal cannula 02 mask basic comfort & hygiene measures |
| Review of Medications:A | Allergy to medications |
| Review of Medications:B | Bleedng tendencies |
| Review of Medications:C | Cortisone or steroid use |
| Review of Medications:D | Diabetes mellitus |
| Review of Medications:E | emboli, previous embolic events |
| Surgical Effects on body systems: Cardio | MI, dysrhythmias, and hypertension |
| Surgical Effects on body systems: Endocrine | Liver disease alters motablism of drugs and Diavetes Mellitus cause pt to be susceptible to ingections and impaired wound healing |
| Surgical Effects on body systems: Gastrointestinal | Hiatil hernia, ulcers, esophagel varices(pre/post op meds may be needed to control gastric acid) |
| Surgical Effects on body systems:Immune | Aids, allerhies, immune dificiency ( disease slows the bodys ability to fight off infection/delay wound healing after sugery) |
| Surgical Effects on body systems:Neurological | Seizres, myasthenia gravis, cerebal vascular accident(pt need a ck of therapiutic levels of meds NO muscel relaxants,communication, body paralysis, visual disturbances, high risk fo injury) |
| Surgical Effects on body systems:Respiratory | Tumors, COPD, Emphysema, Asthma (Gas exchanged slowed, Anesthetic reduce resp function increasing risk for severy Hypoventilation) |
| Surgical Effects on body systems:Uninary | Renal failure and Tumors (Impaired kidney function decreases wxcretion of anesthesia and alters acidbase balance) |
| Lab test for surgical patient | uriaryalysis,cbc, Blood chemistry (endocrine, heptic, renal, and cardio functions),serum electrolytes (if potassium not adepuate sysrhythmias can occure during anesthesia) |
| Diagnostic Imaging for the surgical patient | Chest roentgenogram & Electrocardiogram (used to view resp/cardio camage |
| Inform Consent | Premission pbtained from the patient to preform a spicific test or procedure |
| When should you not obtain concent? | If Pt is disorented, unconscious, mentally incompetent or under the influence of sedatives |
| Gasrtric Preparation | NOP (GI)empty stomach & GoLYTELY (rappid evalcuate th bowels) |
| Skin Preparation | dipliatory (w/o injury to the skin) and sddess for impairment ( infection, irritation, bruises, or lesions) |
| Allergy considerations | No Latex |
| Respiratory Preparation:Incentive Spirometry | to incourage deep brething, prevent/ treat atelectasis, inprove lung expansion, improve o2, post op pneumonia improvement |
| Respiratory Preparation:Flow oriented insperatory spirometer | Measures inspiration not volume |
| Respiratory Preparation:Volume oriented spiratometer | maintain known volum of inspiration |
| Cardiovascular considerations: | Need to turn, cough, deep breath, leg exercise (to prevent thrombus, emboulus, infract) |
| Vital signs | BP, Temp, Pulse, Respiratory, O2% |
| Surgical Wound: Incisions | Cuts produced to open |
| Surgical Wound:Closure | Suture, staples, steri-strips, transparent strips |
| Anesthesia | General: Immobile, quiet, no recall |
| Anesthesia stage:I | begins with the patient awake as administration of anesthetic agents |
| Anesthesia stage:II | begining w/loss of consciousness and ends w/ onset of regular breathing and loss of eyelid reflexes |
| Anesthesia stage:III | Behining w/onset of regular brething and ends w/ ceassation or respirations (operative phase) |
| Anesthesia stage:VI | Behins w/the cessation of respirations and must be must be avoided |
| Surgical: Induction | Administration and intubation |
| Surgical: Maintenance | Positioning, Prep of skin |
| Surgical: Emergence | anesthetics are decreased and pt awaken |
| Regional Anesthesia | loss of sensation in one area of the body (nerve block, spinal anesthesia, epidural anest.,intervenious regional anest.) |
| Local anesthesia | loss of sensation at the desired site (growth on skin/cornea of the eye) |
| Conscious Sedation | CNS depressent drug |
| Sugerical ABC's | A-airway B-Beathing C-circulation S-system review |
| Activity | 1. level of alertness2. Cardio vascular3. Moter Status |
| Paralytic ileus | a decrease in or absence of intestinal peitaneal trauma and severe metabolic disease and other conditions |
Created by:
kharrell
Popular Nursing sets