Care of the Surgical Patient Flashcards Preview

Nursing Concepts > Care of the Surgical Patient > Flashcards

Flashcards in Care of the Surgical Patient Deck (52)
Loading flashcards...
1

preoperative phase

from the decision of surgery to transfer into the operating room

2

Intraoperative phase

from transfer to the operating room to admission to the PACU

3

postoperative phase

starts at admission to the PACU and ends when completely recovered from surgery.

4

Emergency surgery

needed to be done immediately; life threatening situation

5

urgent

not an emergency; requires prompt intervention 24-48 hours

6

elective

non urgent, non acute problem, not life threatening but surgery is preferred treatment

7

optional

not critical to survival or function

8

diagnostic

to make or confirm a diagnosis

9

ablative

to remove a diseased body part

10

restorative

to restore function to a traumatized or malfunctioning tissue

11

palliative

to relieve or reduce intensity of an illness; is not curative

12

constructive

to restore function in congenital anomalies Ex. cleft palate

13

transplantation

to replace organs or structures that are diseased or malfunctioning.

14

Minor degree of risk

low risk to patient; fewer complications; often same day surgery

15

Major degree of risk

high risk to patient; more complicated; increased blood loss; vital organs involved; increased risk of post operative complications

16

What are some advantages of same day surgery?

Same day procedures-cheaper
less stress
less risk of HAI'sq

17

What are some disadvantages of same day surgeries

need more knowledge base & proper education
baseline info
limited activity at home and need more social support

18

What are some components of pre-surgical testing?

CBC, Basic metabolic panel, chest X-Ray, EKG/ECG,

19

What information would be included in a current problem nursing assessment?

What are they having surgery on

20

What information would be included in a vital signs nursing assessment

VITALS

21

Antibiotics

mycins--potentiate MS relaxants

22

Anticoagulants

Increase bleeding time, problem with cloting, should be stopped several days prior to surgery

23

Aspirin NSAIDS

same as anticoagulants

24

Antihypertensives

When used with anesthetics can cause hypotension

25

Diuretics

Loss of K+ . Hypokalemia will cause cardiac problems and arrhythmia. (getting rid of excess water)

26

Corticosteroids

Steroids--when stopped suddenly will cause CV collapse; also anti-inflammatory and will delay wound healing.

27

Tranquilizers

potentiate narcotics and barbiiturates which will decrease BP and cause CNS depresssion

28

Support system

sociocultural needs

29

Sedatives

diazepam (Valium); midazolam (versed), lorazepam (Ativan) to alleviate anxiety and decrease recall of events related to surgery

30

Anticholinergics

Atropine and Glycopyrrolate (Robinul) decrease pulmonary/oral secretions and prevent laryngospasm