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Flashcards in Perioperative Nursing Deck (89)
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Surgery performed to determine the origin and cause of a disorder or the cell type for cancer

Dagnositc

1

Surgery performed to resolve a health problem by repairing or removing the cause

Curative

2

Surgery performed to improve a patient's functional ability

Restoritive

3

Surgery performed to relieve the symptoms of a disease process, but not to cure the disease

Palliative

4

Surgery performed primarily to alter or enhance personal appearance

Cosmetic

5

Surgery planned for correction of a nonacute problem

Elective

6

Surgery that requires prompt intervention; may be life threatening if treatment is delayed more than 24-48 hours

Urgent

7

Surgery requiring immediate intervention because of life-threatening consequences

Emergent

8

Type of procedure where only the most overtly affected areas are involved in the surgery

Simple

9

Extensive surgery beyond the area obviously involved

Radical

10

What is the purpose of radical surgery?

Finding a rot cause of the problem

11

Surgery performed in a body cavity or body area through one or more endoscopes; can correct the problems, remove organs, take tissue for biopsy, reroute blood vessels and drainage systems

Minimally invasive surgery

12

What are the benefits for the patient of ambulatory surgery?

Less anesthesia, less healing time, smaller scars, less hospital stay, less opioid medications

13

Why are older patients at an increased risk for complications in surgery?

The normal aging process decreases immune system functioning and delays wound healing

14

When anesthetizing a patient, what do you specifically have to ask them about?

Cardiac disease and problems

15

What kinds of complications are more likely to occur in older patients?

Pulmonary

16

What should the preoperative nurse be assessing her patients for?

Current health problems, potential complications related to anesthesia, and potential complications that may occur after surgery

17

Which electrolyte imbalance is absolutely critical to correct before surgery?

Potassium

18

What does anesthesia do?

Blocks nerve impulses, suppresses reflexes, promotes muscle relaxation

19

When and where does the induction phase of anesthesia occur?

In the waiting room before the surgery

20

What is done during the induction stage of anesthesia?

Prep, put in the IV, consent must be done, pre-medications

21

What occurs during the maintenance phase of anesthesia?

Positioning of patient, prepping the skin, surgical procedure

22

What occurs during the emergence phase of anesthesia?

Reversal or decrease of drugs causes patient to awaken

23

Loss of sensation in an area of the body due to a nerve block of multiple peripheral nerves

Regional anesthesia

24

Loss of sensation at application site only

Local anesthesia

25

In a patient with spinal anesthesia, what do you have to watch especially for?

Respiratory paralysis, drop in blood pressure, and loss of sensation in fingers and toes

26

How can respiratory paralysis be prevented in patients with spinal anesthesia?

Elevation of the upper body

27

Why does spinal anesthesia cause a drop in blood pressure?

Vasodilation associated with the block

28

Anesthesia that depresses the level of consciousness while allowing maintenance of reflexes

Conscious Sedation

29

What is the nurse's responsibilities for a patient in conscious sedation?

Monitor and check the airway, LOC, O2 saturation and ECG