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Fundamentals 2 Exam 3 Flashcards > Peri-Operative Panopto Flashcards > Flashcards

Peri-Operative Panopto Flashcards

1
Q

How many Perioperative Phases are there? What are they named?

A

Preoperative Phase
Intraoperative Phase
Postoperative Phase

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2
Q

Preoperative phase =

A

Before surgery

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3
Q

Intraoperative phase =

A

During surgery

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4
Q

Postoperative phase =

A

After surgery

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5
Q

What is an Ablative surgery?

A

Removes or repairs a diseased part. It is curative surgery

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6
Q

What kind’ve surgery is a palliative one?

A

Alleviates or reduces symptoms. Doesn’t cure.

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7
Q

A cosmetic improvement surgery’s purpose is to-

A

Restore function or appearance

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8
Q

What is the difference between a diagnostic and explorative surgery?

A

Diagnostic = Determines presence or extent of a pathologic condition

Exploration = Determines presence or extent of a disease

Exploration is done when you know what the problem is, you just wanna know how bad it may be or if there’s anything accompanying it.
Diagnostic is you know the symptoms, but you’re unsure what’s going on with the pt and you want more clarity.

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9
Q

Examples of Diagnostic surgeries:

A

Endoscopic Procedures (Bronchoscopy or Colonoscopy)

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10
Q

Examples of cure or ablative surgeries:

A

Extraction of a diseased Gallbladder (Cholecystectomy), Removal of a ruptured Appendix (Appendectomy), Infected Cyst Removal

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11
Q

Examples of Palliative Surgeries:

A

Remove a lung tumor to help respirations, cut nerve pathways to stop intractable pain

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12
Q

Examples of Preventive Surgeries:

A

Prophylactic Mastectomy, Gene Testing (Prophylactic Removal of the Breast or a Skin Mole)

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13
Q

Examples of Cosmetic Improvement Surgeries:

A

Scar Revision, Breast Reconstruction, Dental Implants

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14
Q

Examples of Exploration surgeries:

A

Laparotomy

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15
Q

Name some examples of Functional Surgeries:

A

Breast Reconstruction, Cleft Lip / Palate Repair, Burn Trauma Repair

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16
Q

Do surgical settings vary?

A

Yup, could be inpatient or outpatient. Could be in a hospital, clinic, or provider’s office

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17
Q

What is surgery based on?

A

It’s Ergency

18
Q

Describe Elective Surgery:

A

Pt’s choice of scheduling.
Not Life-Threatening.
Surgery can be delayed.

19
Q

Describe Emergency Surgery:

A

Immediate, to save life or preserve function of a body part

20
Q

Describe Ambulatory / Same-Day / Outpatient Surgery:

A

Less than a 24-hour stay
Post-op recover shifts from hospital to home

21
Q

Give some examples of Elective Surgeries:

A

Hernia Repair, Joint Replacement like a Knee Replacement, A Bunionectomy, a Breast Reconstruction, Mole/Wart Removal, Kidney Stone Removal

22
Q

Give some examples of people who’d need Emergency Surgery:

A

Pt’s with internal hemorrhages, Trauma pt’s, Ruptured Appendix

23
Q

Nearly 50% of surgeries are now what kind of surgeries?

A

Outpatient

24
Q

What are the benefits of Outpatient surgery?

A

Less Cost, Less Invasive, Less Anesthesia, Decreased chance of getting an HAI / Nosocomial Infection

25
Q

What are the 2 Surgical Degrees of Risk?

A

Major and Minor

26
Q

What kind of anesthesia do you take with surgical procedure that are a Major degree of risk?

A

General Anesthesia

27
Q

What kind of anesthesia do you take with surgical procedure that are a Minor degree of risk?

A

Moderate Sedation, Local Anesthesia, Short Period of General Anesthesia

28
Q

A surgery with a Major degree of risk will-

A

Be a more complicated surgery, involve vital organs, result in a large loss of blood, complications are expected

29
Q

A surgery with a Major degree of risk will-

A

Have few expected complications, will be available via an outpatient setting

30
Q

Examples of surgeries that are a Major degree of risk?

A

Coronary Artery Bipass Graft (CABG), this is Open Heart Surgery.

A Thoracotomy.

A Colon Resection

31
Q

Examples of surgeries that are a Minor degree of risk?

A

Alterations to body parts, Cataract Extraction, Hernia Repair, Tooth Extraction

32
Q

What problems can a Colon Resection cause?

A

Infection, Non-Closure of the Incision, an Abdominal Bleed, Adhesion, Paralytic Ileus.

With the Anesthesia, you’ll be at a high risk of respiratory and CV complications.

33
Q

Pre-existing conditions, regardless of age =

A

Co-Morbid Health Problems

34
Q

List some Acute Co-Morbid Health Problems:

A

Fever, Upper Respiratory Infection, any other kind’ve Infection

35
Q

List some Chronic Co-Morbid Health Problems:

A

CV Problems, Respiratory Problems like COPD, Diabetes, Renal Disease, Immune Disorders (Leukemia, AIDS)

36
Q

A diabetic may have-

A

Poor wound healing + a poor capillary refill status

37
Q

Elderly age related changes include:

A

Decrease in hepatic and renal function
Co-morbidities
Increased risk of adverse reactions to preop medications
Physiological reserve is decreased
Reduced muscle mass and body water
Sensory deprivations
Alterations orally
Less perspiration
Decrease in subcutaneous tissue

38
Q

Provider’s Role in Informed Consent:

A

Describe treatment/procedure
Professionals involved in treatment
Risks of anesthesia
Benefits of treatment/procedure
Describe potential harm, pain, and/or
discomfort which can occur
Other options
Recognize the right to refuse treatment

39
Q

Nurse’s Responsibility in Informed Consent:

A

Witness the consent
Ensure that provider gave necessary information
Patient understood information
Competent to sign consent
Notify HCP if more questions or if patient doesn’t understand
Document patient questions
Document teaching (reinforcement)
Provide interpreter if needed (not a family member or friend)
Document use of interpreter in medical record

40
Q

The nurse prepares a patient for surgery and notes that the surgical consent is not signed.
What action does the nurse take?

A.) Ask the patient if sufficient information has been received to sign the consent.
B.) Call the operating room and notify the staff that surgery needs to be cancelled.
C.) Notify the surgeon of the need to return to the room to obtain informed consent.
D.) Sign the form in serving as a witness to the patient’s verbal consent for the procedure.

A

A

41
Q

What do you always do prior to surgery?

A

Remove any nail polish, make-up, or accessories.
Remove artificial body parts, glasses, dentures, etc.
Notify O.R. if hearing aids left in place

Fundamentals 2 Exam 3 Flashcards (10 decks)

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