Surgical Nursing Flashcards
(56 cards)
Primary prevention
Knowledge screenings and family hx
Secondary prevention
Minimize disability and increase quality of life
Terterary prevention
Treatment of illness
Women are
Under treated and under diagnosed
Preoperative phase
Hx of Surgeries Medical problems Medications Family Surgery Indicators for surgery Make sure everyone on the team knows this information
23 hour surgery
Ambulatory surgery Monitored care Low cost Ex. Tonsillectomy Cardiac catheterization
Same day admission
Work up done prior to surgery
Ex. Total hip
Coronary artery bypass graft
In patient hospital based surgery
Patients that need stabilization sent to OR from Inpatient bed ER Lab Or ICU
Elective surgery
Improves quality of life Scheduled at pt convinence Time is not a factor Decreased mortality/morbidity Runs same risks
Semi elective surgery
Increased time sensitive
May or may not be within 24 hours
Decreased mortality and morbidity
Ex. Cholecystisis = cholecystectomy
Urgent surgery
Required with in 24 hours
Prevention of complications
Emergency surgery
Done with in 24 hours preferably with in two hours
Delay causes major injustice
Goal is to stablize
Increased risk for mortality and morbidity
Increased risk for bleeding, MI, renal failure
Salvage surgery
When CPR is in progress in the or or on the way to the or Required for survival Ex. Ruptured aneurism Perforated ulcer Penetrating trauma
ATM
Assessment
Treatment
Intervention
High BUN
dehydration
Low BUN
hypervoluema
High BUN
dehydration
Creatnine
indicates kidney function
PT/PTT/INR
Indicates coagulation
Do all teaching
pre op
NPO status before surgery is to
reduce risk of aspiration
Benzodiazepines
Decrease anxiety
ex. Midazolam (versed)
H2 antagonists
inhibit production of gastric acid- prevent aspiration
ex. ranitidine (zantac), famotidine (pepcid)
Anticholinergics
prevents vomiting
