Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
2056 Week 1
Chapters 20,21,22
| Term | Definition |
|---|---|
| What type of surgery category is performed to determine the presence of a cancerous lump? | Diagnosis |
| What type of surgery category is preformed to eliminate a ruptured appendix? | Cure |
| What type of surgery category is preformed to create a colostomy to alleviate bowel pain? | Palliation |
| What type of surgery category is preformed to remove a mole before malignancy? | Prevention |
| What type of surgery category is preformed to change the structure of one's face after serious burns? | Cosmetic improvement |
| What type of surgery category is preformed to determine the nature or extent of a disease? | Exploration |
| What are the four main types of surgical procedures, and how is each one defined? + examples | 1. Emergency - Unexpected and urgent - Bowel obstruction 2. Elective - Planned, often wait list - Hips, Knees 3. Inpatient - will often be admitted for a full hospital stay - Hysterectomy 4. Ambulatory - Same day, <2hrs, <3-4 hours post anesthesia |
| What does the suffix "plasty" mean? | Repair/reconstruction |
| What does the suffix "otomy" mean? | Cutting into/incision |
| What does the suffix "ostomy" mean? | Creating an opening into |
| What does the suffix "oscopy" mean? | Looking into |
| What does the suffix "ectomy" mean? | Excision/removal |
| Give some examples of things included in the preoperative assessment. | Consent Physical assessment Current meds Alcohol, smoking, drug use Personal or family history of anesthesia complications Allergies Chronic illness Sleep apnea assessment & airway history Lab tests |
| List some topics explored in the Psychosocial assessment day-of-surgery. | Stress level Anxiety Unrealistic expectations Conflict with interventions |
| When are blood thinners often stopped prior to surgeries? | 2 wks |
| When should smoking be stopped prior to surgery? | 8 wks |
| What are 3 main hepatic specific lab values taken prior to surgery? | Lft, ALT, AST |
| What are some assessments done the day of surgery for the endocrine and hematological systems? | Hempglobin - <80 pt may need blood transfusion in OR Blood glucose |
| Give an examples of sensory information in the OR for a patient. | Sight - bright lights Touch - May be cold - will provide blankets, safety trap Smell - Drugs and cleaning solutions can be oderous Hearing - Beeping from monitoring machines - muffeled hearing because of mask. |
| Give an examples of process information in the OR for a patient. | The process from admission, to the holding area, to the OR, and PACU Families stay in holding area until surgery and can't come into recovery room Tech that may be present when awaking |
| Give an examples of procedural information in the OR for a patient. | What to bring, what to wear Food and fluid restrictions Physical prep - shower Purpose for vitals, and post surgery exercise, deep breathing, and coughing are important Expected procedure and discharge support |
| What are general categories of medications continues on day of surgery? | Cardiac, antihypertensive, asthma medications |
| What are some examples of unrestricted areas in the OR? | Admission areas Locker room Communication station Offices |
| What attire is worn in unrestricted areas? | Street clothes |
| Who is allowed in the semi-restricted areas, and what is usually in this area? | Authorized personnel only Peripheral supports Contaminated supplies Storage areas |
| What is the overview of the circulating nurses role? | Documentation Pt. positioning Surgical count Prosthetic implants |
| What position would a patient be placed in for a back surgery? | Prone |
| What position would a patient be placed in for a hysterectomy? | Lateral decubitus and lithotomy |
| What position would a patient be placed in for a cardiac surgery? | Supine |
| What position would a patient be placed in for a lower abdominal surgery? | Trendelenburg |
| Why does a patients correct position matter? | Correct skeletal alignment Prevent pressure on nerves Prevent occlusion of arteries/veins Provide modesty Individual needs |
| What is a dispersive pad for? | Used to cut tissue and cauterize blood vessels |
| Describe "general anesthesia" | Reversible loss of contiousness |
| Describe "local anesthesia" | Loss of sensation without loss of consciousness |
| Describe "regional anesthesia" | Loss of sensation to a region of the body |
| Describe "procedural sedation" | Mild depression of consciousness |
| When is topical anesthesia administered? | 30-60min prior |
| When does postoperative care begin? | Immediately after surgery |
| What is the focus of postoperative care? | Protecting the patient and prevention of complications while the body heals. |
| In the PACU, what are the initial 2 assessments that the nurse needs to do? | 1. Check vitals 2. Airway - patency, oral or nasal airway, laryngeal mask, and endotracheal tube Breathing - RR & quality, supp. O2, SpO2, Capnography Circulation - ECG, BP, Temp., Cap. refill |
| If a nurse notices excess drainage in the dressing over the surgical wound, what action is best to take? | DO NOT REMOVE DRESSING Reinforce the dressing and apply a new one on top. |
| What are some neurological system factors to assess when a pt. arrives in the PACU? | LOC Orientation Sensory and motor status Pupil size and movement |
| What are some methods the nurse can preform central stimulation for a pt? | Auditory Gentle touch Sternal rub Trap squeeze |
| What are initial actions of the PACU nurse if wheezing is heard? | Ensure airway is not obstructed, Chin lift, apply O2 which will help eliminate anesthetic gasses and meets O2 demand |
| What is the first sense to return in the unconscious pt? | Hearing - Bes sure to explain all activities to the pt from PACU admission onwards |
| What are some common signs of inadequate oxygenation? | Restlessness, agitation, Seizures, coma Increased to absent respiratory effort Hyper/hypotension Tachy/bradycardia Dysrhythmias Cyanosis |
| What are some possible complications in respiratory function caused by surgery? | Airway obstruction Hypoxemia Hypoventilation Atelectasis Increased bronchial secretions |
| What temperature of a pt are common to see: administered to the PACU, in the first 48 hours, after the first 48 hours? | 1. Hypothermia 2. Mild <38, surgical stress response. Moderate temperature >38 = resp. congestion or atelectasis 3. After 48 hours - elevated >37.7 = infection |
| What are the main GI related complications that can occur post OP? | Nausea & vomiting Slowed GI motility Postoperative ileus Paralytic ileus |
| What is the difference between a postoperative ileus and a paralytic ileus? | Postoperative ileus - NG tube - Abdominal distention and tenderness/pain - Stomach motility returns in 1-2 days, bowel motility in 3-5 days Paralytic ileus - ileus persisting > 2-3 days) - abdominal pain, distension, nausea, vomiting, poor appetite |
| What is the expected renal function for a pt into the PACU? | 30ml/hr Should return to 0.5-1 mL/kg (~60mL/hr) in clinical unit |
Created by:
ahgecas25