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365 CH Pre OP

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Term
Definition
preoperative patient interview   obtain health information of medical and surgical history, family health, allergies, therapy, diet  
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provide and clarify information about the surgery   nurse is an advocate and primary communicator between patient and provider  
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psychosocial assessment   evaluate presence of support, personal beliefs  
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baseline assessment   was something caused by surgery or was it present before  
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ABG, pulse oximetry   respiratory and metabolic function; oxygenation  
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blood glucose   metabolic status, diabetes  
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CXR   lung disorder, cardiac enlargement, heart failure  
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inpatient   any surgery where the patient needs to stay in the hospital for observation or other clinical reasoning, same day admission  
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inpatient benefits   all testing and monitoring can be performed, inpatient rehab and pain medication can be administered  
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ambulatory   patient is able to go home same day  
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benefits ambulatory   less amount of time in hospital leads to decrease risk of infection, less invasive and cheaper  
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ectomy   excision or removal  
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lysis   destruction of  
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orrhaphy   repair or suture of  
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oscopy   looking into  
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ostomy   creation of opening into  
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otomy   cutting or incision  
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plasty   repair or reconstruction  
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obesity surgical risk   more weight leads to more strain on the heart, more adipose tissue can lead to greater chance of infection  
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smoking risk   limited lung capacity, nicotine is a vasoconstrictor  
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low potassium risk   cardiac dysrhythmias  
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steroid risk   increase blood glucose, infection  
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herbal medication risk   increase risk of bleeding; garlic, ginger, ginko, ginseng, St Jon  
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NPO   prevents risk of aspiration  
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splinting   holding something in place of incision  
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incentive spirometer   prevents mucous plugs and secretions, prevents atelectasis  
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informed consent   surgeon is responsible for obtaining consent  
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nursing responsibility and consent   witness signatre  
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antibiotics pre op   prevent post op infections  
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anticholinergics   atropine and scopolamine decrease oral and respiratory secretions, prevent nausea and vomiting  
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antidiabetics   stabilize blood sugar  
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antiemetics   metoclopramide (reglan), ondansetron (zofran) (prevent nausea, increase gastric emptying)  
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benzodiazepines   valium, ativan decrease anxiety and create sedation  
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B blockers   labetalol controls BP, reduces chance of MI  
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histamine (H2)   decrease gsartic acid secretion and volume, increase gastric pH  
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opioids   pain relief  
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Created by: ahommel
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