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223 EXAM 1

SURGICAL PATIENT CH. 50

QuestionAnswer
Traditional inpatient surgery in acute care and stays for a few days
Ambulatory patient same day out outpatient surgery (ex: knee replace sent sent home same day)
Short stay 23 hour stay
seriousness class of surgery major or minor
Urgency class of surgery elective, urgent (prompt attention), emergent (ruptured/ immediate life saving)
Diagnostic surgery surgical exploration
Ablative surgery diseased body part removed, amputation
Palliative surgery reduces intensity of disease, remove tumor but not the cancer
Reconstructive/restorative surgery restore appearance to traumatized tissue or face
Procurement for transplant surgery removing organ from donor
Constructive restore function or loss from congenital abnormality (ex: cleft palet, closer of heart defect
What are some surgical risk factors? smoking, age, nutritions, obesity, obstructive sleep apnea, immunocompetence, fluid electrolyte imbalance, PONV, POUR, VTE
otomy to open something
What do you do during Preoperative before surgery, Preop teaching, Comprehensive assessment, lab test. emotional, physical, legal preparation
What happens during intraoperative enter OR or leaving OR
What happens Postoperative in recovery. Airway, circulation, breathing, temp, neuro function, fluid and electrolyte imbalance, POSS, efficacy safety scale, skin, GU and GI function , comfort, pain
Prehabilitation rehab before surgery to improve health before surgery. done in preoperative
What do you teach patients about in preoperative? General info, dietary restrictions, physical preparation (IV), pain management, tubes, dressings, anticoagulant therapy, pre anesthetics meds, postop exercise
what are the benefits of preoperative teachings? allays anxiety, decreases recovery time, fewer complications, increases satisfaction, less pain meds, reduce length at hospital
What interventions do you take on day of surgery? Documentation, assessment of VS, hygiene, preparation of hair of bowl and bladder, removal of cosmetics prostheses, anti embolism devises, preop meds,
Transferring a surgical patient includes? a nursing responsibility, maintaining intact IV, lock bed and stretcher, raise and lock bed rails
General anesthesia Invasive surgery, loss of all sensation and consciousness
Regional anesthesia epidural, nerve blocks. loss of sensation in one area of the body
Local anesthesia loss of sensation at a site
Moderate sedation (conscious sedation) used when complete anesthesia is not required
what position do patients lay in so they don't aspirate? Sims position
Zofran Ondansetron phenergan
When does pain peak after surgery? 12-36 hours
Postoperative content Activity resumption, promotion of nutrition (stay away from red food), care of wound, promotion of rest
Created by: mmarino2
 

 



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