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Chap 50

Chap 50, Care of Surgical Clients

Ambulatory surgery outpatient surgery, short-stay surgery, or same-day surgery
antiembolism stocking elastic stockings
Bariatric Obese
Obstructive sleep apnea a syndrome of periodic, partial or complete obstruction of the upper airway during sleep.
atelectasis collapse or closure of alveoli resulting in reduced or absent gas exchange.
cholecystectomy surgicial removal of the gallbladder
laparoscopic Many abdombinal surgeries are done this way.
Circulating nurse Must be an RN. Responsiblities are to review preoperative assessments, establish and implement continuity of care postoperative.
conscious sedation routinely used for procedures that do not require complete anesthesia but rather a depressed level of consciousness.
General anestheis results in an immobile, quiet client who does not recall the surgical procedure.
Regional anesthesia results of loss of sensation in an area of the body, such as: spinal, epidural, or a peripheral nerve block.
Local Anesthesia involves loss of sensation at the desired site. (lidocaine)
Convalescence gradual recovery of health.
Dermatomes segmental skin areas innervated by specific segments of the spinal cord.
Malignant hperthermia a life threatening complication of anesthesia, develops.
Informed consent Surgery can not be legally or ethically performed without:
Latex sensitivity local effects ranging from urticaria and flat or raised red patches to vesicular, scaling, or bleeding eruptions.
Moribund A client who is not expected to survive without the surgery.
Paralytic ileus a nonmechanical obsturction due to lack of intestinal peristalsis
Perioperative nursing Care given before, during, and after surgery.
Sequential pneumatic compression devices devices to help the client such as elastic stockings
Postanesthesia Recovery Score for Ambulatory Clients A score for the clients who had ambulatory surgery to assess their function.
Postanesthesia Recovery Score The most widely used scoring tool for a client who has had surgery.
Preoperative teaching A plan that envolves adult learning principles and coupled with the client's unique needs.
Scrub Nurse either an RN, LPN or a surgical tech. The nurse maintains a sterile field during the surgical procedure, assists with applying sterile drapes, hands intruments and other sterile supplies to surgeons.
Major Surgery Involves extensive reconstruction or alteration in body parts; poses great risks to well-being. (Coronary artery bypass)
Minor Surgery Involves minimal alteration in body parts; often designed to correct deformities. (ex. cataract extraction)
Elective Surgery Performed on basis of client's choice; is not essential and is not always necessary. (facial plastic surgery)
Urgent Surgery Necessary for clients health; not necessarily an emergency. (gallbladder for stones)
Emergency Surgery Must be done immediately to life or preserve function of body part.(Repair of appendix)
Diagnostic Surgery Surgical exploration that allows health care providers to confirm diagnosis. (breast mass biopsy)
Ablative Surgery Excision or removal of diseased body part. (removal of appendix)
Palliative Surgery Relieves or reduces intensity of disease symptoms ; will not produce a cure. (Colostomy)
Reconstructive/Restorative Restores function or appearance to traumatized or malfunctioning tissues.
Procurement for transplant Removal of organs and/ or tissues from a person pronounced brain dead for transplant into another person. (kidney transplant)
Constructive Restores function lost or reduced as result of congenital anomalies (repair of cleft palate)
Cosmetic Performed to improve personal appearance. (Rhinoplasy)
Created by: kurtandmelissa4