effects of anaesthetics and surgery

Question 1

risk factors for cardiac surgery

Answer 1

elderly
repeat surgery
smoker
substance abuse
fat
PMH
lung/ kidney disease

Question 2

specific risks for cardiac surgery

Answer 2

dec left ventricular function

female

Question 3

coronary artery bypass graft

Answer 3

new routes around narrowed or blocked arteries

Question 4

type of incision CABG

Answer 4

sternotomy

Question 5

anaesthetic for CABG

Answer 5

general

Question 6

post op anaesthetic for CABG

Answer 6

patient control

regularly

Question 7

LOS for CABG

Answer 7

5-7 days

Question 8

common complication for CABG

Answer 8

bleeding

infenction

Question 9

valve repair/ replacement

Answer 9

mechanical ro biological replacement of valve in heart

Question 10

operative aneasethic
post op aneasitc
LOS

Answer 10

all same as CABG

Question 11

common complications for valve repealing

Answer 11

bleeding

infection

Question 12

more likely mortality CABG or valve repair

Answer 12

valve

Question 13

aortic dissection

Answer 13

blood filled channel in aortic wall

Question 14

most common life threatening disorder affecting aorta

Answer 14

aortic dissection

Question 15

risk factors for aortic dissection

Answer 15

HTN, preg, complication from previous medical treatment

Question 16

clinical presentation of aortic dissection

Answer 16

sudden chest pain from back down

Question 17

medical treatment aortic dissection

Answer 17

surgery

Question 18

conqueneces if aortic dissection not treated

Answer 18

rupture
extortion (into aortic valve)

Question 19

lobectomy

Answer 19

excision of a lobe of the lung

Question 20

post op aneasthic for lobectomy

Answer 20

thoracic epidural

Question 21

complications lobectomy

Answer 21

wound infection

brachial plexus injruy

Question 22

pneuomnectory

Answer 22

removal of lung

Question 23

complications for pneonectomy

Answer 23

wound infection

brachial plexus injury

Question 24

esophagectomy

Answer 24

removal of parts of esophagus

Question 25

post operative anesthetics

Answer 25

epidural , oral pain medication

Question 26

complication for esophagectomy

Answer 26

infection of chest and abdomen

Question 27

LOS for esophagectomy

Answer 27

10-14

Question 28

most common resitrctional sternal guidelines

Answer 28

no standrad | common is not lifter or pulling over 5lbs

Question 29

pacemaker / ICD

Answer 29

control abnormal hear rhythm

Question 30

what ICD

Answer 30

implantable cardioverter defibrillator

Question 31

can pace maker and ICD be combined

Answer 31

yes

Question 32

how long is pacemaker / ICD procedure

Answer 32

1-4 Horus

Question 33

Pacemaker avoid these acitifivty

Answer 33

24hr moving shoulder 2 weeks lift 4 weeks life over 5kg 8 shovelling

Question 34

what can you do pacemaker

Answer 34

24 bend elbow 2 weeks move shoulder 4 weeks regular acts 8 all accts

Question 35

ECG purple

Answer 35

monster cardiac rhythm and rate

Question 36

PCA

Answer 36

control dose of meds (self administered)

Question 37

epidural

Answer 37

treat symptoms of surgery and labour

Question 38

precautions of epidural

Answer 38

ensure line is aped

Question 39

NG tube

Answer 39

in patient mouth or nose to give stomach function

Question 40

precautions of NG tube

Answer 40

feeds are off or on pause before PT treatment don't lower head maintain >30degs

Question 41

contraindications NG tube

Answer 41

NG tube in same name as suctioning

Question 42

chest tube

Answer 42

air

Question 43

contradindiaciton chest tube

Answer 43

ensure collection chamber is kept away from insertion

Question 44

urinary catheter

Answer 44

monster unitary output

Question 45

conrradinciaton urinare catheter

Answer 45

back flow of urine | keep chamber below level of bladder

Question 46

JP drain

Answer 46

remove fluid with constant suction

Question 47

hemovac

Answer 47

drain indecision wound has suction (i.e breast)

Question 48

embolus

Answer 48

moves in blood

Question 49

thrombus

Answer 49

emboli composed of clotting blood

Question 50

thrombosis embolism

Answer 50

a moving thrombus

Question 51

deep vein thrombus

Answer 51

embolism formed in leg

Question 52

pulmonary thromboembolism

Answer 52

embolism one artery of lung

Question 53

phelbothrombrosis

Answer 53

thrombosis in vein

Question 54

embolism epidemiology

Answer 54

30% of patients having major surgery

Question 55

General risk factors embolism

Answer 55

``` bed ridden obese blood clotting disorder aneasethci HRT ```

Question 56

3 DVT risk factors

Answer 56

hypercoagulabilty, vascular damage, circulatory stasis | blood, vessel, flow

Question 57

signs n symptoms DV

Answer 57

selling in calf and ankle leg pain dorsi pain red, warm leg

Question 58

DVT treatment

Answer 58

blood thinners

Question 59

prevent DVT

Answer 59

mobilty, bed exercises

Question 60

DVT prophylaxis treatment

Answer 60

walk 30-45 minutes, 5-7 days.week | ankle pumps, knee extensions, seated march

Question 61

effects of general aneasethic post op

Answer 61

``` dec: deep breathing tidal volume coughing mobilization funcitonal residual capacity ``` inc: need of approbate closing volume RR, Risk of blood clots

Question 62

outcomes of aesethic

Answer 62

``` inc risk of: infection secretion rention atelectatsi immbolity LOS complications work of breathing ``` dec vital capacity

Question 63

main goals physiotherapy aesthetic

Answer 63

breathing | moving