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223 EXAM 1
SURGICAL PATIENT CH. 50
| Question | Answer |
|---|---|
| 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 |