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Admission Status: ambulatory (out pt)
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Admission Status: Samd day admitt
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med surge Final

Ch 2 Sugery

QuestionAnswer
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
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