Chap 17 med-serg
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| Purpose of Diagnostic Surgery | removal and study of tissue to make an accurate diagnosis
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| Purpose of Exploratory Surgery | opening a body cavity to diagnose and determine the extent of a disease process
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| purpose of curative surgery | removed tissue or to correct defects
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| what is ablation | removal of tissue
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| purpose of palliative surgery | relieves symptoms or improves function without correcting the basic problem
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| what is the purpose of cosmetic surgery | corrects serious defects that affect appearance; often the patient wants to change a physical feature
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| what is the purpose of elective surgery | voluntary or planned procedure performed at convenience of patient and/or surgical team
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| how is laser surgery performed | light amplification by the stimulated emission of radiation, the light beam is converted to heat as tissue absorbs it
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| how is fiberoptic surgery performed | allows the use of endoscopes with hit-resolution video cameras through a very small incision
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| how is robotic surgery performed | the robot is operated from a nearby computer while the surgeon views magnified three-dimensional images of the surgical field on the computer's screen
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| greatest benefit from robotic surgery | decreases healing time & post-op pain
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| term Lysis |
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| term anastomosis | joining together of two parts
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| term -ectomy | surgical excision (cutting off)
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| term -oma | tumor
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| term -ostomy | opening
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| term -otomy | cutting into with out taking out
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| term -plasty | repair
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| term -pexy | fixation or anchoring into place
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| informed consent is obtained | by the surgeon after patient is informed and agrees to procedure, patient must be fully alert and aware it must be signed before any pre-op meds are given
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| food and fluid are restricted prior to surgery/anesthesia to | prevent perioperative aspiration of food/fluid from stomach during/after surgery/anesthesia
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| Drug to treat opioid OD? | narcan/naloxone
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| What happens if you give naloxone too quickly? | Will cause seizures
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| What class is narcan? | Opioid antagonist
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| Versed/midazolam? | Benzodiazepine, treats anxiety, pre-op sedative (pre anesthesia anzyltic)
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| Narcotic analgesic for pain & post-op shivering (opioid) | Meperidine/demerol
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| Anticholinergic, used in pre-op phase to decrease salivary secretions & increase heart rate | Atropine
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| Increase gastric emptying ; antiemetic | Metoclopramide/reglan
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| Local anesthetic, numbs area | Sensorcaine/bupivacaine
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| IV agent for general anesthesia? | Sublimaze (narcotic agonist analgesic)
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| Skeletal muscle relaxant used as an adjunct to general anesthesia & for intubation of pt? | Anectine
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| Skeletal muscle relaxant used for procedures lasting longer than 1 hour? | Pavulon
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| Skeletal muscle relaxant reversal used to prevent/treat post-op bladder distention? | Prostigmine
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| Local anesthetic used for nerve block? | Sensorcrain
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| Local anesthetic used for spinal anesthesia & peripheral nerve block? | Novocain
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| Used to dry respiratory & mouth secretions pre-operatively? | Atropine
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| Used as a sedative, anti-anxiety, skeletal muscle relaxant, & anticonvulsant pre-operatively? | Diazepam
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| Used as a sedative pre and post-op? | Lorazepam
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| Used as an induction agent, short acting CNS depressant, causes amnesia used pre-op for sedation & conscious sedation? | Midazolam
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| Used as a hypnotic the night before surgery & for sleep after that? | Temazepam
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