Week 5 Procedural and Peri-operative Care Flashcards
(52 cards)
1
Q
From when the decision to have surgery is made
A
Peri-op
2
Q
From the time of anaesthetic to completion of the procedure
A
Intra-op
3
Q
From the time of handover from OT staff to recovery staff to ward staff
A
Post-op
4
Q
Surgery performed immediately to save a life or function of a person
A
Emergency surgery
5
Q
Surgical intervention that is not imminently life threatening
A
Elective surgery
6
Q
Confirms or establishes a diagnosis
A
Diagnostic surgery
7
Q
Relieves or reduces pain or symptoms
A
Palliative surgery
8
Q
Removal of a diseased body part
A
Ablative surgery
9
Q
Restores function or appearance
A
Constructive surgery
10
Q
Replaces malfunctioning structures
A
Transplant surgery
11
Q
Form signed by the patient/carer that protects the patient from incorrect or unwanted procedures
A
Consent
12
Q
A
NBM - nil by mouth
13
Q
Surgical removal of all or part of a specified organ
A
Ectomy
14
Q
Cutting into a part of the body
A
Otomy
15
Q
Repair,restoration of part of a body
A
Plasty
16
Q
Suture of a body part
A
Rrhapy
17
Q
Discharge
A
Rrhea
18
Q
Excessive flow
A
Rrhage
19
Q
Observation or a visual examination
A
Scopy
20
Q
Increase in pathological condition
A
Osis
21
Q
Within or containing
A
Endo
22
Q
About or around
A
Peri
23
Q
Above or over
A
Supra
24
Q
Backward or located behind
A
Retro
25
Inflammation
Itis
26
Who is responsible to mark the intended surgical site?
The Surgeon performing the procedure
27
‘Otomy’ is a suffix that refers to
Cutting or making an incision into part of the body
28
Prophylactic antibiotics refers to antibiotics that are given:
To prevent an infection
29
An important ALERT to document on the peri-operative patient record is
If they have had cytotoxic medications in the last 7 days
30
One of the responsibilities of the Instrument nurse in the operating theatre team is to:
Prepare instruments and equipment needed for the procedure
31
When preparing a person who wears contact lenses for a surgical procedure where they could or will have a general anaesthetic, their contact lenses:
Must be removed
32
The nursing role in the operating theatre team who assists in the monitoring of the patient during surgery is the role of the ?
Anaesthetic nurse
33
Under general anaesthetic or sedation, patients have a reduced level of consciousness and therefore they are at risk of pulmonary aspiration. To minimise this risk, the pre-operative preparation of a person usually includes:
Nil by mouth
34
The nursing role in the operating theatre team who determines if the patient is ready to return to the ward is?
PACU nurse
35
When preparing a person who has dentures for a surgical procedure where they could or will, have a general anaesthetic it is generally preferred to:
Leave them in the patients mouth
36
How does age affect risk of post-operative complications?
37
How does cardiovascular disease affect risk of post-operative complications?
38
How does pulmonary disorders affect risk of post-operative complications?
39
How you would help a person overcome fear of the unknown experienced in the pre-operative phase?
40
How you would help a person overcome fear of post-operative pain experienced in the pre-operative phase?
41
How you would help a person overcome fear of changes in self image experienced in the pre-operative phase?
42
Why BMI may be indicated during the pre-operative period
Obesity is correlated with difficult intubation so further analysis is required prior to surgery.
43
Why urinalysis may be indicated during the pre-operative period
To detect urinary tract infections, renal diseases and poorly controlled diabetes.
44
Why chest x-ray may be indicated during the pre-operative period
To assess known chronic medical conditions or to detect previously undiagnosed diseases.
Eg COPD, TB, heart failure
45
Why ECG may be indicated during the pre-operative period
Performed in individuals with a history of cardiovascular disease or for those undergoing major surgery.
Can indicate underlying cardiac pathology and provide a baseline for comparison if there are post-operative concerns for cardiac ischaemia.
46
Why complete blood count may be indicated during the pre-operative period
To detect anaemia, bleeding disorders, inherited and acquired haematological disorders, and the effects of other systemic diseases
47
Why blood group and cross matching may be indicated during the pre-operative period
Ensures blood availability for the date/time of surgery and reduces the risk of a canceled procedure.
48
Why serum urea and electrolytes may be indicated during the pre-operative period
Essential information on renal function, principally in excretion and homoeostasis.
Creatinine levels are a major factor in determining the estimated glomerular filtration rate, which is the marker of kidney health.
49
Why BGL may be indicated during the pre-operative period
Hyperglycemia in the peri-operative period is an independent marker of poor surgical outcomes of poor healing and increased infection rates
50
Why pregnancy test may be indicated during the pre-operative period
To guard against any potential risks to the developing fetus
Allows patient to make informed decision as to whether to proceed or not
51
Clinical signs and symptoms:
- Coughing up yellow or green phlegm (thick mucus)
- Coughing up blood
- Breathlessness or rapid and shallow breathing
- Wheezing
- Fever
Chest infection
52
Clinical signs and symptoms:
- Pain in calf, foot, or leg
- Swelling of the leg or along a vein in the leg
DVT (Deep Vein Thrombosis)
