Pre Op Flashcards

1
Q

Purpose of Surgery

A
Ablative
Diagnostic
Palliative
Reconstructive
Cosmetic
Transplant
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2
Q

How Procedures are Categorized

A
Reason
Urgency
Degree of Risk
Anatomic location
Extent of surgery required
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3
Q

Types of urgency

A

Elective
Urgent
Emergent

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4
Q

Degree of Risk

A

Minor

Major

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5
Q

Type of Extent of Surgery required

A

Simple
Modified
Radical

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6
Q

Surgical Settings

A

Inpatient

Outpatient

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7
Q

Stages of Preop Phase

A
Admission
Assessment
Diagnostic procedures
Pre op Ed
Consent
Physical prep
Transport
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8
Q

Diagnostic Pre op tests

A
CBC
WBC
Electrolytes
Coagulation
Creatinine
BUN
Blood type
hepatic
glucose
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9
Q

Nursing planning

A

Pre op teaching plan
goals & outcomes
setting priorities
continuing care

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10
Q

informed consent

A

legal duty of md
a brief complete explanation of procedure or treatment
has right to refuse at last min
knows risks & alternatives

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11
Q

Preop teaching

A
Determine learning level
give correct info
teach post op exercises
have pt demo back
include family if pt permits
answer any questions
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12
Q

anticholinergics

A

reduction of oral secretions

Ex; Atropine & Benztropine (cogentin)

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13
Q

Anxiolytics

A

control anxiety
Diazepam (valium)
Lorazepam (ativan)

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14
Q

Antihistamines

A

sedation & antiemetic (helps with nausea) effects.
Cetirizine (zyrtec)
chlorpheiramine (chlor-trimeton)

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15
Q

Barbiturates

A

sedation without cardiopulmonary depression
Pentobarbital (nembutal)
Phenobarbital (luminal)

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16
Q

H2 Receptor Antagonists

A

reduce gastric acidity
Tagamet (cimetidine)
zantac (ranitidine)

17
Q

Hypnotics

A

Sedation and increase duration of sleep
Chloral hydrate (aquachloral)
zolpidem (ambien)

18
Q

Neuroleptics

A

Sedation, antiemetic, & anticonvulsant
Neurotin (gabapentin)
Halopraridol (butyrophenones)

19
Q

Opioids

A

Pain relief, sedation, induction of anaesthesia
Meperidine (demerol)
Morphine

Serious if you don’t know what this is, we need to talk….j/k….funny for you.

20
Q

Post op exercises

A
Diaphragmatic breathing
spirometry
controlled coughing
Splinting
turning
leg exercises
21
Q

pre op check list

A
Consent signed
ID band
No clothing/jewelry/dentures/hearing aid/wigs/nail polish/prosthetics
Diagnostic
Allergies
NPO status/empty bladder/VS
Valuables accounted for
Appropriate signatures
Mode of travel
Pre op meds given
22
Q

Post-op bedside unit

A
Prep when leaves for surgery
Surgical bed
VS equipment
Clean gown
Emesis
IV pole
Suction/O2
Extra pillows/bed pads
Wash cloth/towels/tissues