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preoperative patient interview
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provide and clarify information about the surgery
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365 Exam 1
365 CH Pre OP
| Term | Definition |
|---|---|
| preoperative patient interview | obtain health information of medical and surgical history, family health, allergies, therapy, diet |
| provide and clarify information about the surgery | nurse is an advocate and primary communicator between patient and provider |
| psychosocial assessment | evaluate presence of support, personal beliefs |
| baseline assessment | was something caused by surgery or was it present before |
| ABG, pulse oximetry | respiratory and metabolic function; oxygenation |
| blood glucose | metabolic status, diabetes |
| CXR | lung disorder, cardiac enlargement, heart failure |
| inpatient | any surgery where the patient needs to stay in the hospital for observation or other clinical reasoning, same day admission |
| inpatient benefits | all testing and monitoring can be performed, inpatient rehab and pain medication can be administered |
| ambulatory | patient is able to go home same day |
| benefits ambulatory | less amount of time in hospital leads to decrease risk of infection, less invasive and cheaper |
| ectomy | excision or removal |
| lysis | destruction of |
| orrhaphy | repair or suture of |
| oscopy | looking into |
| ostomy | creation of opening into |
| otomy | cutting or incision |
| plasty | repair or reconstruction |
| obesity surgical risk | more weight leads to more strain on the heart, more adipose tissue can lead to greater chance of infection |
| smoking risk | limited lung capacity, nicotine is a vasoconstrictor |
| low potassium risk | cardiac dysrhythmias |
| steroid risk | increase blood glucose, infection |
| herbal medication risk | increase risk of bleeding; garlic, ginger, ginko, ginseng, St Jon |
| NPO | prevents risk of aspiration |
| splinting | holding something in place of incision |
| incentive spirometer | prevents mucous plugs and secretions, prevents atelectasis |
| informed consent | surgeon is responsible for obtaining consent |
| nursing responsibility and consent | witness signatre |
| antibiotics pre op | prevent post op infections |
| anticholinergics | atropine and scopolamine decrease oral and respiratory secretions, prevent nausea and vomiting |
| antidiabetics | stabilize blood sugar |
| antiemetics | metoclopramide (reglan), ondansetron (zofran) (prevent nausea, increase gastric emptying) |
| benzodiazepines | valium, ativan decrease anxiety and create sedation |
| B blockers | labetalol controls BP, reduces chance of MI |
| histamine (H2) | decrease gsartic acid secretion and volume, increase gastric pH |
| opioids | pain relief |
Created by:
ahommel
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