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Surgical Care
Chap 17 med-serg
| Question | Answer |
|---|---|
| Purpose of Diagnostic Surgery | removal and study of tissue to make an accurate diagnosis |
| Purpose of Exploratory Surgery | opening a body cavity to diagnose and determine the extent of a disease process |
| purpose of curative surgery | removed tissue or to correct defects |
| what is ablation | removal of tissue |
| purpose of palliative surgery | relieves symptoms or improves function without correcting the basic problem |
| what is the purpose of cosmetic surgery | corrects serious defects that affect appearance; often the patient wants to change a physical feature |
| what is the purpose of elective surgery | voluntary or planned procedure performed at convenience of patient and/or surgical team |
| how is laser surgery performed | light amplification by the stimulated emission of radiation, the light beam is converted to heat as tissue absorbs it |
| how is fiberoptic surgery performed | allows the use of endoscopes with hit-resolution video cameras through a very small incision |
| how is robotic surgery performed | the robot is operated from a nearby computer while the surgeon views magnified three-dimensional images of the surgical field on the computer's screen |
| greatest benefit from robotic surgery | decreases healing time & post-op pain |
| term Lysis | |
| term anastomosis | joining together of two parts |
| term -ectomy | surgical excision (cutting off) |
| term -oma | tumor |
| term -ostomy | opening |
| term -otomy | cutting into with out taking out |
| term -plasty | repair |
| term -pexy | fixation or anchoring into place |
| informed consent is obtained | by the surgeon after patient is informed and agrees to procedure, patient must be fully alert and aware it must be signed before any pre-op meds are given |
| food and fluid are restricted prior to surgery/anesthesia to | prevent perioperative aspiration of food/fluid from stomach during/after surgery/anesthesia |
| Drug to treat opioid OD? | narcan/naloxone |
| What happens if you give naloxone too quickly? | Will cause seizures |
| What class is narcan? | Opioid antagonist |
| Versed/midazolam? | Benzodiazepine, treats anxiety, pre-op sedative (pre anesthesia anzyltic) |
| Narcotic analgesic for pain & post-op shivering (opioid) | Meperidine/demerol |
| Anticholinergic, used in pre-op phase to decrease salivary secretions & increase heart rate | Atropine |
| Increase gastric emptying ; antiemetic | Metoclopramide/reglan |
| Local anesthetic, numbs area | Sensorcaine/bupivacaine |
| IV agent for general anesthesia? | Sublimaze (narcotic agonist analgesic) |
| Skeletal muscle relaxant used as an adjunct to general anesthesia & for intubation of pt? | Anectine |
| Skeletal muscle relaxant used for procedures lasting longer than 1 hour? | Pavulon |
| Skeletal muscle relaxant reversal used to prevent/treat post-op bladder distention? | Prostigmine |
| Local anesthetic used for nerve block? | Sensorcrain |
| Local anesthetic used for spinal anesthesia & peripheral nerve block? | Novocain |
| Used to dry respiratory & mouth secretions pre-operatively? | Atropine |
| Used as a sedative, anti-anxiety, skeletal muscle relaxant, & anticonvulsant pre-operatively? | Diazepam |
| Used as a sedative pre and post-op? | Lorazepam |
| Used as an induction agent, short acting CNS depressant, causes amnesia used pre-op for sedation & conscious sedation? | Midazolam |
| Used as a hypnotic the night before surgery & for sleep after that? | Temazepam |
Created by:
arogers74
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