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Flashcards in Perioperative care Deck (72)
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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


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

Emergency surgery (controlling internal hemorrhage)


This suffix means: an excision or removal of



This suffix means: destruction of



This suffix means: repair or suture of



This suffix means: looking into



This suffix means: creation of opening into



This suffix means: cutting into or incision of



This suffix means: repair or reconstruction of



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

same-day admission


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)


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


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


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


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


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

review of systems


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)


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


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


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


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


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


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


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


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


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


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


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

H&P (history and physical)


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


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