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Health Concepts
CH. 12 - Nursing Care of Patients Having Surgery
| Term | Definition |
|---|---|
| ADJUNCT | AN ADDITION TO THE PRINCIPAL PROCEDURE OR COURSE OF THERAPY |
| ANESTHESIA | LACK OF FEELING OR SENSATION; ARTIFICIALLY INDUCED LOSS OF ABILITY TO FEEL PAIN |
| ANESTHESIOLOGIST | A PHYSICIAL WHO SPECIALIZES IN ANESTHESIOLOGY |
| ASEPTIC | FREE OF PATHOGENIC ORGANISMS; ASEPSIS |
| ATELECTASIS | COLLAPSED/AIRLESS CONDITION OF THE LUNG, CAUSED BY OBSTRUCTION OR HYPOVENTILATION |
| DEBRIDEMENT | THE REMOVAL OF FOREIGN MATERIAL AND CONTAMINATED AND DEVITALIZED TISSUES FROM OR ADJACENT TO A TRAUMATIC OR INFECTED AREA UNTIL SURROUNDING HEALTHY TISSUE IS EXPOSED |
| DEHISCENCE | A SPLITTING OPEN (RUPTURE) OF AN INCISION |
| EVISCERATION | EXTRUSION OF VISCERA OUTSIDE THE BODY, ESPECIALLY THROUGH A SURGICAL EXCISION |
| HEMATOMA | A LOCALIZED COLLECTION OF BLOOD, USUALLY CLOTTED, IN AN ORGAN, SPACE, OR TISSUE |
| HYPOTHERMIA | BODY TEMP. BELOW 95 DEG. F |
| INDUCTION | THE PROCESS OR ACT OF CAUSING TO OCCUR AS IN ANESTHESIA INDUCTION |
| INTRAOPERATIVE | OCCURRING DURING A SURGICAL PROCEDURE |
| PERIOPERATIVE | OCCURRING IN THE PERIOD IMMEDIATELY BEFORE, DURING, AND AFTER SURGERY |
| POSTOPERATIVE | FOLLOWING A SURGICAL OPERATION |
| PREOPERATIVE | PRECEDING AN OPERATION |
| PURULENT | FLUID THAT CONTAINS PUS |
| SEROSANGUINEOUS | FLUID CONSITING OF SERUM & BLOOD |
| SURGEON | A MEDICAL PRACTITIONER WHO SPECIALIZES IN SURGERY |
| SURGERY | THE USE OF INSTRUMENTS DURING AN OPERATION TO TREAT INJURIES, DISEASES, & DEFORMITIES; SCHEDULED BASED ON URGENCY |
| -ECTOMY | REMOVAL BY CUTTING |
| -ORRHAPHY | SUTURE OF OR REPAIR |
| -OSCOPY | LOOKING INTO |
| -OSTOMY | FORMATION OF A PERMANENT ARTIFICIAL OPENING |
| -OTOMY | INCISION OR CUTTING INTO |
| -PLASTY | FORMATION OR REPAIR |
| EMERGENCY | IMMEDIATE SURGERY NEED TO SAVE LIFE/LIMB |
| URGENT | SURGERY NEEDED WITHIN 24-30 HRS. |
| ELECTIVE | PLANNED/SCHEDULED, W/ NO TIME REQUIREMENTS |
| OPTIONAL | SURGERY REQUESTED BY THE PATIENT |
| AESTHETIC | REQUESTED BY PT. FOR IMPROVEMENT |
| DIAGNOSTIC | TO OBTAIN TISSUE SAMPLES TO MAKE A DIAGNOSIS |
| EXPLORATORY | CONFIRMATION OR MEASUREMENT OF EXTENT OF CONDITION; A LOOKING INTO |
| PREVENTATIVE | REMOVAL OF TISSUE BEFORE IT CAUSES A PROBLEM |
| CURATIVE | REMOVAL OF DISEASED/ABORMAL TISSUE |
| RECONSTRUCTIVE | CORRECTION OF DEFECTS OF BODY PARTS |
| PALLIATIVE | ALLEVIATION OF SYMPTOMS WHEN DISEASE CANNOT BE CURED |
| PERIOPERATIVE PHASE | PRE, INTRA, & POST OP PHASES |
| PREOPERATIVE PHASE | DECISION OF SURGERY TO O.R. TRANSFER |
| INTRAOPERATIVE PHASE | TRANSFER TO O.R. TO PACU |
| POSTOPERATIVE PHASE | PACU TO RECOVERY |
| GENERAL ANESTHESIA | PATIENT LOSES SENSATION, CONSCIOUSNESS AND REFLEXES; ACTS DIRECTLY ON THE CNS (IV OR INHALATION) |
| LOCAL ANESTHESIA | BLOCKS NERVE IMPULSES TO SPECIFIC BODY REGION WHERE INJECTED; DO NOT LOSE CONSCIOUSNESS |
| MALIGNANT HYPOTHERMIA | HEREDITARY MUSCULAR DISEASE THAT CAN BE TRIGGERED BY GENERAL ANESTHETICS |
| DRUG GIVEN FOR REVERSE EFFECTS OF MALIGNANT HYPOTHERMIA | DANTROLENE |
| TOPICAL ADMINISTRATION | PLACED DIRECTLY ON THE SURGICAL AREA |
| LOCAL INFILTRATION | INJECTION OF A MEDICATION INTO THE TISSUE WHERE THE INCISION WILL BE MADE |
| REGIONAL BLOCK | INJECTING A LOCAL AGENT ALONG A NERVE THAT CARRIES IMPULSES TO THAT REGION |
| NERVE BLOCK | INJECTION OF A MEDICATION INTO THE NERVE |
| BIER BLOCK | BY PLACING A TOURNIQUET ON AN EXTREMITY TO REMOVE THE BLOOD & THEN INJECTING THE LOCAL AGENT INTO THE EXTREMITY |
| FIELD BLOCK | SERIES OF INJECTIONS SURROUNDING THE SURGICAL AREA |
| SPINAL BLOCK | INJECTION OF MEDICATION INTO THE SUBARACHNOID SPACE |
| EPIDURAL BLOCK | INJECTION OF MEDICATION INTO THE EPIDURAL SPACE |
| PACU | PERIANESTHESIA CARE UNIT |
| POSTOPERATIVE PHASE | FINAL STAGE PACU TO RECOVERY RELEASE FROM PACU REQUIRED BASELINE VITALS NO RESPIRATORY DEPRESSION OR BLEEDING PT. IS TRANSFERRED TO NURSING UNIT |
| POSTOPERATIVE TACHYCARDIA | DECREASED OXYGEN WITH AN INCREASED HEART RATE CAUSES HEMORRHAGE RESPIRATORY DEPRESSION PAIN |
| POSTOPERATIVE PREVENTIONS | REMOVE FOLEY EARLY AMBULATION INCENTIVE SPIROMETRY, COUGH, DEEP BREATHING LEG EXERCISES |
| HEALING PROCESS | IF INFECTION IN SITE, HEAL FIRST THEN SUTURE DEHISCENCE - SPLITTING OF SUTURED WOUND EVISCERATION - ORGAN FALLING OUT OF WOUND |
| PENROSE DRAIN | SOFT, FLAT DRAIN; MODERATE, PINK SEROSANGUINEOUS DRAINAGE, REQUIRES FREQUENT DRESSING CHANGES |
| JACKSON-PRATT & HEMOVAC DRAIN | CLOSED SYSTEM THAT REQUIRES PERIODIC EMPTYING & REAPPLICATION OF THE SUCTION BY COMPRESSING THE DRAIN; RECORD OUTPUT & COLOR |
| DISCHARGE | 1 HOUR AFTER PACU (POSSIBLE) STABLE VITAL SIGNS NO BLEEDING NO NAUSEA OR VOMITING CONTROLLED PAIN |