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Flashcards in Perioperative care Deck (72)
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1

Surgery that is carefully planned/prefferred treatment for a condition that's not life threatening or improves a pt's life is defined:

elective surgery

2

A surgery that's performed immediately to preserve the function or life of the pt is defined as:

Emergency surgery (controlling internal hemorrhage)

3

This suffix means: an excision or removal of

-ectomy

4

This suffix means: destruction of

-lysis

5

This suffix means: repair or suture of

-orrhaphy

6

This suffix means: looking into

-oscopy

7

This suffix means: creation of opening into

-ostomy

8

This suffix means: cutting into or incision of

-otomy

9

This suffix means: repair or reconstruction of

-plasty

10

Pts who are going to be admitted to the hospital are usually admitted on the day of surgery:

same-day admission

11

The majority of surgical procedures, sometimes called ambulatory/same-day surgery, may be conducted in emergency departments, endoscopy clinics...,all performed using general, regional, and local anesthetic with operations typically less than 2 hrs is defined as:

outpatient surgery (Eg: laparoscopic)

12

This type of surgery is typically preferred by pts and insurers (medicare, medical, private insurances) d/t lest costs r/t minimal labs/meds/and reduces pt's susceptibility to hospital acquired infections:

outpatient surgery

13

This type of preop assessment includes: identifying pt's stressors, anxiety, common fears (to anesthesia, disruption of life roles...), hope or coping strategies:

Psychosocial assessment

14

This type of preop assessment includes: PMHx (previous medical conditions/surgeries), medications taken (insulin is elevated when NPO), herbs (teas may cause interaction with anesthesia), anything that can directly/indirectly affect the surgery:

Physiological assessment

15

Besides the psychosocial and physiological preop assessments, what are the other preop assessments that should be gathered:

baseline; identify/document surgical site, identify meds, document lab results, identify cultural/ethnic factors, determine if adequate info was disclosed to the pt about surgery

16

What is the last component of the pt hx for preop:

review of systems

17

This type of system review occurs when we ask the pt about hx of skin problems and assessment of skin for any abnormalities:

Integ system (a pt w/hx of pressure ulcers may require extra padding during surgery)

18

This type of system review occurs when asking for PMHx and current meds for cardiovascular, risk for DVT is high for pts w/hx of thrombosis/smoking/COPD... SCDs are applied in pre-op holding area:

Cardiovascular system

19

This type of system review occurs when asking if there's a presence of upper airway infection (surgery will be postponed in such a case); asthma pts should be asked for what meds they take as they are more at risk for for post-op pulmonary complications; pts who smoke should be encouraged to stop 6 wks pre-op to decrease risk of pre/post-op respiratory complications:

Respiratory system

20

This type of system review occurs when assessing pt's ability to respond to questions/commands/maintain orderly thought patterns and documented for post-op comparison; guardian of pt with impaired cognitative function needs to be present to provide informed consent; elderly cognitative baseline is important d/t that they are more affected cognitavely to the anesthesia and we don't want to falsely label them senile or dementia:

Neurologic assessment

21

This type of system review occurs when asking the pt  about PMHx of urinary/renal diseases; problems with voiding/incontinence/enlarged prostate; pregnant women:

Genitoruinary system

22

This type of system review occurs when you inquire about hx of hepatic function which may cause a pt to have an increase for clotting abnormalities:

Hepatic system

23

This type of system review occurs when you're taking note of any joint, musculskeletal issues that may restrict postioning during surgery; POST-OP PAIN IS D/T CHRONIC MUSCULOSKELETAL PAIN AND POSTIONING DURING SURGERY, rather than acute pain of the actual procedure:

musculoskeletal system

24

This type of system review occurs when you inquire about a pt's hx of DM as DM pts have increased risk for adverse effects to anesthesia/surgery (delayed healing, ketosis...), to determine if pt has hx of thyroid issues d/t metabolic rates during surgery:

Endocrine system

25

This type of system review occurs by inquiring hx of compromised immune system, use of corticosteroids (usually tapered before surgery), acute infections such as sinustits will post pone a surgery

Immune system

26

This type of system review occurs when gathering info if pt has been vomitting or diarrhea; drugs that may alter balances of fluids in the body; espescially critical for the elderly pts

Fluid electrolyte imbalances

27

This type of system review occurs when a nutritional deficit is gathered to correct pre-post op; if a pt is thin, extra padding may be used to protect bony prominances; obesity stresses cardiac and pulmonary systems (caffeine withdrawal can cause severe HA that may be mistaken for spinal HA):

Nutritional status/dietary habits

28

What is used to assign a pt a physical status rating for anesthesia:

H&P (history and physical)

29

What are the routine preop screening tests:

CBC, bld type/cross, electrolytes, glucose; BUN/creatinine, LFTs, urinalysis, EKG, CHR, pregnancy test even if pt says no to it

30

What type of nsg intervention is utilized to reduce a pt's post-op fear/anxiety/stress by explaning what will occur/when/what the pt will experience:

Preoperative teaching