Chap 50, Care of Surgical Clients
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| Ambulatory surgery | outpatient surgery, short-stay surgery, or same-day surgery
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| antiembolism stocking | elastic stockings
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| Bariatric | Obese
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| Obstructive sleep apnea | a syndrome of periodic, partial or complete obstruction of the upper airway during sleep.
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| atelectasis | collapse or closure of alveoli resulting in reduced or absent gas exchange.
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| cholecystectomy | surgicial removal of the gallbladder
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| laparoscopic | Many abdombinal surgeries are done this way.
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| Circulating nurse | Must be an RN. Responsiblities are to review preoperative assessments, establish and implement continuity of care postoperative.
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| conscious sedation | routinely used for procedures that do not require complete anesthesia but rather a depressed level of consciousness.
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| General anestheis | results in an immobile, quiet client who does not recall the surgical procedure.
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| Regional anesthesia | results of loss of sensation in an area of the body, such as: spinal, epidural, or a peripheral nerve block.
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| Local Anesthesia | involves loss of sensation at the desired site. (lidocaine)
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| Convalescence | gradual recovery of health.
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| Dermatomes | segmental skin areas innervated by specific segments of the spinal cord.
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| Malignant hperthermia | a life threatening complication of anesthesia, develops.
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| Informed consent | Surgery can not be legally or ethically performed without:
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| Latex sensitivity | local effects ranging from urticaria and flat or raised red patches to vesicular, scaling, or bleeding eruptions.
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| Moribund | A client who is not expected to survive without the surgery.
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| Paralytic ileus | a nonmechanical obsturction due to lack of intestinal peristalsis
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| Perioperative nursing | Care given before, during, and after surgery.
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| Sequential pneumatic compression devices | devices to help the client such as elastic stockings
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| Postanesthesia Recovery Score for Ambulatory Clients | A score for the clients who had ambulatory surgery to assess their function.
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| Postanesthesia Recovery Score | The most widely used scoring tool for a client who has had surgery.
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| Preoperative teaching | A plan that envolves adult learning principles and coupled with the client's unique needs.
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| 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.
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| Major Surgery | Involves extensive reconstruction or alteration in body parts; poses great risks to well-being. (Coronary artery bypass)
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| Minor Surgery | Involves minimal alteration in body parts; often designed to correct deformities. (ex. cataract extraction)
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| Elective Surgery | Performed on basis of client's choice; is not essential and is not always necessary. (facial plastic surgery)
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| Urgent Surgery | Necessary for clients health; not necessarily an emergency. (gallbladder for stones)
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| Emergency Surgery | Must be done immediately to life or preserve function of body part.(Repair of appendix)
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| Diagnostic Surgery | Surgical exploration that allows health care providers to confirm diagnosis. (breast mass biopsy)
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| Ablative Surgery | Excision or removal of diseased body part. (removal of appendix)
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| Palliative Surgery | Relieves or reduces intensity of disease symptoms ; will not produce a cure. (Colostomy)
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| Reconstructive/Restorative | Restores function or appearance to traumatized or malfunctioning tissues.
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| Procurement for transplant | Removal of organs and/ or tissues from a person pronounced brain dead for transplant into another person. (kidney transplant)
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| Constructive | Restores function lost or reduced as result of congenital anomalies (repair of cleft palate)
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| Cosmetic | Performed to improve personal appearance. (Rhinoplasy)
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