Week 1 Pain Managment Flashcards Preview

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Flashcards in Week 1 Pain Managment Deck (32):
0

Removal and study of tissue to Mae an accurate diagnosis

Diagnostic

1

More extensive procedure than a biopsy usually requires opening a body cavity to diagnose and know extent of disease

Exploratory

2

Removes diseased tissue or to correct defects

Curative

3

Relieves symptoms or improves function with out correct the basic problem

Palliative

4

Done to change a physical feature or to correct serious defects that effect appearance

Cosmetic

5

Classification of surgery
Major or minor is called

Seriousness

6

Classification of surgery
Elective ,urgent, emergency, optional, required

Urgency

7

Classification of surgery
Diagnostic, ablative ,palliative, reconstructive, restorative, recurement, cosmetic

Purpose

8

Three phases of surgery
Begins when the patient is scheduled for surgery and ends at time of transfer to the surgical unit

Preoperative

9

Three phases of surgery
Begins with entry to the OR suites and ends opun arrival in PACU or recovery room

Intraoperative

10

Three phases of surgery
Period starts at the completion of surgery and transfer of patient to the PACU same, day surgery unit and continues well after discharge from agency

Postoperative

11

Who explains informed consent and who signs them

Medical doctors are the one who fully explains to the pt
But witnessed by the nurse
Nurse may sign as a witness
Signed after full explanation while in normal state in mind

12

Who invented proper identification.

JCAHO

13

What act allows the pt wishes to be followed
But surgery does not provide an exception to an advance directive

Patient self determination act

14

PT teaching is done during which stage

Preoperative

15

SCD ( sequential compression devise) does what

Promotes venous return and prevent deep vein thrombosis

16

What is the Preoperative checklist

NPO after midnight or 8h before surgery
Bowl preps with GI surgeries
Skin prep ( shower special solution, surrounded area shave
Nothing on but clean gown no make up nail polish no jewelry
Oral care done
I'd allergy badge on
Verification of site
Preoperative meds given

17

Types of anesthesia
Loss do sensation reflexes and consciousness
Four stages
Endotrachea, tude

General anesthesia

18

Types of anesthesia
Loss of sensation and decreased mobility to specific anesthetized area
Risk for injury and burns

Regional anesthesia

19

Types of anesthesia
Conscious sedation
Side effects :respiratory depression antagonist

Procedural sedation anesthesia

20

What are the three designated zones in the operating room

Unrestricted zone
Semi restricted zone
Restricted zone

21

What involves with primary intention skin healing

Wound is clean w/ cleaning edging
Edges can be approximated w/ sutures staples or tape
Healing is rapid
Scar is thin

22

What involves with secondary intention skin healing

Wound is large and irregular
Tissue lose,pressure ulcer, deep abrasion
Healing involves inflammation
Scar is large

23

What involve with tertiary intention skin healing

Wound is left open because of contamination of debris
Healing involves increase inflammation risk of infection
Edges are approximated with possible sutures
Scar varies with wound

24

What are the signs and symptoms of wound infection

Increase tenderness
Redness
Fever or no fever
Edema
Purulent drainage - s/s report

25

Hypo ventilation and excessive retained secretions may lead to lung tissue collapse

Atelectasis

26

Occurs when edema or bleeding increases pressure within a muscle compartment to the point of impeding ambulatory

Compartment syndrome

27

Atelectosis provides a medium for bacterial growth

Pneumonia

28

May occur as bone marrow release fat into the veins occurs 24-48 after injury

Fat embolism

29

Can occur when 15-20% of blood lost during surgery , lack of fluid intake , burns are higher risk for this

Hypovolemia

30

Obstruction of the pulmonary arterial bed
S/s of pink frothy sputum

Pulmonary embolism

31

Is a side of effect of anesthetic agent , narcotic, dehydration,

Constipation