perry/potter ch 37
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| A serious surgery involving extensive reconstruction or ateration in body parts and poses great risk to well-being. | MAJOR SURGERY EX. coronary artery bypass, colon resection, removal of larynx, resection of lung lobe
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| A surgery involving minimal alteration in body parts, often designed to correct deformities. | MINOR SURGERY EX. cataract extraction, facial plastic srgery, tooth extraction.
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| Surgery performed on basis of PT choice, not essential and is not always necessary for health. | ELECTIVE SURGERY plastic surgery,hernia repair, breast reconstruction.
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| Surgery necessary for patient's health, will possibly prevent additional problems from developing, such as tissue distruction, impaired organ function, not necessarily an emergency. | URGENT SURGERY EX. cancer tumor, artery obstruction repair.
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| Surgery that must be done to save life or preserve function of body part. | EMERGENCY SURGERY EX. appendix repair, amputation, internal hemorrhaging.
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| Surgery seriousness. | Major or Minor
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| Levels of surgery urgency. | ELECTIVE, URGENT, EMERGENCY
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| Purpose for surgery. | DIAGNOSTIC, ABLATIVE, PALLIATIVE, RECONSTRUCTIVE/RESTORATIVE, PROCUREMENT FOR TRANSPLANT, CONSTRUCTIVE, COSMETIC
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| Exploratory surgery that confirms diagnosis. | DIAGNOSTIC SURGERY
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| Amputation or removal of diseased body part. | ABLATIVE SURGERY
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| Surgery to relieve/reduce intensity of disease symptoms, doesn't cure. | PALLIATIVE SURGERY
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| Surgery to restore function and appearance. | RECONSTRUCTIVE/RESTORATIVE
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| Removal and transplat of tissue or body parts. | PROCUREMENT FOR TRANSPLANT
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| Restoring function from a congenital anomalie. | CONSTRUCTIVE SURGERY
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| Surgery to improve personal appearance. | COSMETIC SURGERY
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| Atelectasis | Collapse of alveoli, preventing the normal respiratory exchange of oxygen and carbon dioxide. Smokers at high risk for this.
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| Surgical Risk Factors | Age,very young and very old, Nutrition, Obesity, Immunocompetence, Fluid and Electrolyte Balance, Pregnancy.
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| Obese patient risks | Reduced ventilations due to pressure against diaghragm caused from the enlarged abdomen. Greater risk of dehiscence, and evisceration.
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| Perioperative nurse | Responsible for safe, responsible,and effectivenursing care thru each phase of surgery.
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| Pulmonary Hygiene | Frequent turning, deep breathing, coughing, use of incentive spirometry, chest physical therapy(PT).
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| Preoperative vital signs provide | Baseline info to compare with or rule out complications.
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| Screens for preexisting abnormalties. | Diagnostic Testing.
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| Preoperative Tests | CBC, Blood Chemistry (SMA 7 or Chem 7), Coagulation Studies, UA, 12 lead electrocardiogram, chest x-ray.
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