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Surgical Nursing
Intraoperative Considerations and Patient Monitoring
Term | Definition |
---|---|
Pulse Deficit | The difference between the apical pulse (that heard over the heart with a stethoscope) and the arterial pulse |
Cyanosis | A bluish discoloration of the skin and mucous membranes caused by excessive concentration or reduced hemoglobin in the blood |
Pulse Strength | The ease or difficulty of palpating the blood flowing through the artery; general indicator of the blood pressure |
Dissociative Anesthetic | A class of anesthetic agent that causes a disruption of the nerve transmission in some parts of the brain and elective stimulation in others; this combination of actions causes the animal to appear awake but immobile and unaware of its surroundings |
Dissociative Anesthesia | Loss of perception of certain stimuli while that of others remains intact |
Agonal Breathing | The spasmodic opening of the mouth with contraction of the diaphragm usually associated with death; no respiration is taking place |
Pulse Oximetry | An instrument that measures pulse rate and the percentage of oxygenated and reduced hemoglobin |
Supination | To rotate the forearm to bring the palm face upward |
Pronation | The rotation of the hand and forearm so that the palm faces backward or downward |
Hemostasis | The arrest of bleeding by either natural (clot formation) or artificial (compression or ligation) means |
Bone Wax/ Bone Sealant | A composition of beeswax and isopropyl palmitate used to seal the cut end of bone; a poorly absorbed product that should be used sparingly |
Fenestration | An opening in a surface |
Fenestrated | To have one or more window-like openings |
Laparotomy | Flank incision into the abdominal cavity; sometimes used interchangeably with celiotomy |
Lavage | To wash out or irrigate |
Dehiscence | Splitting open; the breakdown of a surgical incision such that the tissue layers separate from each other |
Evisceration | Extrusion of the viscera or internal organs |
Ileus | Functional obstruction of the intestines or failure of peristalsis; partial or complete nontechnical blockage of the small and/or large intestine |
Celiotomy | Surgical incision into the abdominal cavity |
Plication | Pleating or folding |
Gastrotomy | The creation of an opening into the stomach (an incision) |
Neoplasia | The formation of abnormal growth |
Trichobezoar | Hair ball |
Pica | Craving for unnatural articles of food; can lead to gastric foreign bodies |
Peritonitis | An inflammatory process that involves the serous membrane of the abdominal cavity |
Enterotomy | Incision of the intestine |
Anastomosis | Surgical, traumatic, or pathologic formation of a connection between two normally distinct structures |
Intussusception | Prolapse of one part of the intestine into the lumen of an immediately adjacent part, causing intestinal obstruction |
Ischemia | Deficiency of blood in a part |
Abdominocentesis | Puncture and aspiration of the abdominal cavity |
Ligate | To tie off or constrict blood vessels or tissue |
Stenosis | Narrowing or contraction of a body passage or opening |
Volvulus | Rotation of an organ |
Aerophagia | Habitual swallowing of air |
Percutaneous | Performed through the skin |
Trocar | A sharp, pointed, needlelike instrument equipped with a cannula; used to puncture the wall of a body cavity and withdraw fluid or gas |
Gastrectomy | Excision of the stomach or a portion of the stomach |
Splenectomy | Excision of the spleen |
Gastropexy | Surgical fixation of the stomach; often used to prevent further occurrence of GDV |
Gastritis | Inflammation of the lining of the stomach |
Herniation | Abnormal protrusion of an organ or other body structure through a defect or natural opening |
Nosocomial Infection | Infection acquired during hospitalization or during attendance at any veterinary medical facility |
Pyometra | A pus-filled uterus |
Endotoxemia | The presence of endotoxins in the blood |
Septicemia | Systemic disease associated with the presence of pathogenic microorganisms and their toxins |
Orchiectomy | Castration |
Cryptorchid | Animal with undescended testes |
Ablation | Removal, especially by cutting |
Cystostomy | Surgical formation of an opening into the bladder |
Cystotomy | Surgical incision into the bladder to expose the lumen or interior of the urinary bladder |
Urolith | Calculus or stone found in the urine or urinary system |
Hematuria | Blood in urine |
Stranguria | Slow and painful discharge of urine |
Dysuria | Difficulty urinating |
Pollakiuria | Abnormally frequent passage of urine |
Anuria | Complete suppression of urine formation |
Uroabdomen | Presence of urine in the abdominal cavity; generally associated with a ruptured bladder |
Cystourethrogram | Radiograph of the urinary bladder and urethra |
Urolithiasis | Formation of calculi in the urinary tract |
Urethrotomy | Incision into the urethra |
Entropion | Inversion or turning inward of the margin of an eyelid |
Lacrimation | Tearing |
Blepharospasm | Squinting, blinking |
Photophobia | Sensitivity to light |
Enophthalmos | Pulling back of the eye and a secondary, raised third eyelid |
Conjunctivitis | Inflammation of the conjunctiva |
Keratitis | Inflammation of the cornea |
Coaptation | Application of external appliance, such as a splint or cast |
Open Fracture | A fracture in which the skin and the soft tissue covering the bone were punctured, usually by the sharp ends of the fractured bone, creating a path for external contaminants to come in contact with the bone |
Closed Fracture | A fracture that at the time of impact did not puncture or tear the skin at or around the location of the fracture |
Osteomyelitis | Bone infection |
Nonunion | Failure of the ends of a fractured bone to unite |
Malunion | Incorrect anatomical alignment of the fragments of a fractured bone; faulty union and alignment of the fractured bone |
Disarticulation | Amputation or separation at a joint |
Onychectomy | Declawing; the removal of the claw and its associated third phalanx |
Insufflation | Blowing or a powder, vapor, or gas into a body cavity |