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220 Unit 3
Vocabulary
Question | Answer |
---|---|
Perioperative | period immediately before, during, and/or after surgery. |
Preoperative | care preceding an operation, including medical evaluation of risks of surgery, psychological adjustment. |
Ambulatory surgery | surgery performed between the AM admission and discharge same day. Also day surgery. |
Emancipated minor | not of legal age (armed services, married, mother, or left home and self-sufficient). Some states do not require parental consent for medical or surgical care, or advice on contraception or abortion. |
Informed consent | voluntary agreement made by well-advised and mentally competent patient to be treated. |
Outpatient surgery | treatment without hospitalization. |
Same day surgery | same as ambulatory surgery |
Pre-operative checklist | preceding an operation including medical evaluation of risks. Items to complete before surgery. \ |
Skin prep | a liquid film-forming dressing that, upon application to intact skin, forms a protective film to help reduce friction during removal of tapes and films |
Intraoperative | occurring during surgery. |
Anesthesia | partial or complete loss of sensation with or without loss of consciousness, as a result of disease, injury, or administration of an anesthetic agent, usually by injection or inhalation. |
Anesthesiologist | physician specializing in anesthesiology. |
Anesthetist | one who administers anesthetics for general anesthesia. |
Aseptic technique | method to prevent contamination. Sterile instruments, caps, masks, gloves, shoe covers, gowns. |
General anesthesia | produces complete loss of consciousness. Medically controlled coma. |
Regional anesthesia | nerve or field blocking, causing loss of sensation in a dermatome innervated by a specific nerve. |
Epidural | located over the dura |
Local | limited to one place or part |
Spinal | pertaining to the spine or spinal cord. |
Malignant hyperthermia | autosomal dominant disease marked by skeletal muscle dysfunction after exposure to some anesthetics or other stressors. Body temp may to 105 or higher, can be fatal. |
Circulating nurse | takes history, educates about procedure, monitors vitals, and assures sterility. |
Scrub nurse | directly assists surgeon. |
Lithotomy position | on back, thighs flexed on abdomen, legs on thighs, thighs abducted (genital, vaginal hysterectomy, urethra and bladder) |
Sims position | semiprone on left side, right knee and thigh drawn well up, left arm along back, chest inclined forward so patient rests on it. |
Trendelenburg | patient head low, body, and legs elevated, inclined plane (abdominal surgery, shock, NO for head injury). |
Postoperative | after surgery or procedure. |
Atelectasis | collapsed or airless condition of the lung. |
Epidural analgesia | pain management where narcotics infused into peridural space through an indwelling catheter. |
Incentive Spirometry | visual and vocal stimuli given to produce max effort during deep breathing, post op to prevent atelectasis. |
Paralytic ileus | loss of bowel motility occasionally results in obstruction. Usually after abdominal surgery. |
Patient controlled (PCA) | drug administered by method that permits patient to control rate of drug delivery for pain control. |
Post Anesthesia Care Unit (PACU) | units used after surgery for monitoring signs and symptoms, suggest they may have poorly tolerated the anesthesia or operation. |
-desis | binding, fixation. |
-ectomy | surgical excision or removal of body part |
-lysis | loosen, dissolve, reduction |
-orrhaphy | suture, surgical repair |
-ostomy | surgically formed fistula connecting intestine or urinary tract to the exterior. |
-oscopy | examine with a device or tool i.e. camera |
-otomy | cutting, incision |
-plasty | surgical repair |
-pexy | fixation, usually surgical. |
-gram | record or picture |
-graphy | instrument used to make drawing, written record |