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Classify surgery
perry/potter ch 37
| Question | Answer |
|---|---|
| A serious surgery involving extensive reconstruction or ateration in body parts and poses great risk to well-being. | MAJOR SURGERY EX. coronary artery bypass, colon resection, removal of larynx, resection of lung lobe |
| A surgery involving minimal alteration in body parts, often designed to correct deformities. | MINOR SURGERY EX. cataract extraction, facial plastic srgery, tooth extraction. |
| Surgery performed on basis of PT choice, not essential and is not always necessary for health. | ELECTIVE SURGERY plastic surgery,hernia repair, breast reconstruction. |
| Surgery necessary for patient's health, will possibly prevent additional problems from developing, such as tissue distruction, impaired organ function, not necessarily an emergency. | URGENT SURGERY EX. cancer tumor, artery obstruction repair. |
| Surgery that must be done to save life or preserve function of body part. | EMERGENCY SURGERY EX. appendix repair, amputation, internal hemorrhaging. |
| Surgery seriousness. | Major or Minor |
| Levels of surgery urgency. | ELECTIVE, URGENT, EMERGENCY |
| Purpose for surgery. | DIAGNOSTIC, ABLATIVE, PALLIATIVE, RECONSTRUCTIVE/RESTORATIVE, PROCUREMENT FOR TRANSPLANT, CONSTRUCTIVE, COSMETIC |
| Exploratory surgery that confirms diagnosis. | DIAGNOSTIC SURGERY |
| Amputation or removal of diseased body part. | ABLATIVE SURGERY |
| Surgery to relieve/reduce intensity of disease symptoms, doesn't cure. | PALLIATIVE SURGERY |
| Surgery to restore function and appearance. | RECONSTRUCTIVE/RESTORATIVE |
| Removal and transplat of tissue or body parts. | PROCUREMENT FOR TRANSPLANT |
| Restoring function from a congenital anomalie. | CONSTRUCTIVE SURGERY |
| Surgery to improve personal appearance. | COSMETIC SURGERY |
| Atelectasis | Collapse of alveoli, preventing the normal respiratory exchange of oxygen and carbon dioxide. Smokers at high risk for this. |
| Surgical Risk Factors | Age,very young and very old, Nutrition, Obesity, Immunocompetence, Fluid and Electrolyte Balance, Pregnancy. |
| Obese patient risks | Reduced ventilations due to pressure against diaghragm caused from the enlarged abdomen. Greater risk of dehiscence, and evisceration. |
| Perioperative nurse | Responsible for safe, responsible,and effectivenursing care thru each phase of surgery. |
| Pulmonary Hygiene | Frequent turning, deep breathing, coughing, use of incentive spirometry, chest physical therapy(PT). |
| Preoperative vital signs provide | Baseline info to compare with or rule out complications. |
| Screens for preexisting abnormalties. | Diagnostic Testing. |
| Preoperative Tests | CBC, Blood Chemistry (SMA 7 or Chem 7), Coagulation Studies, UA, 12 lead electrocardiogram, chest x-ray. |
Created by:
nrs2b
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