perioperative chapter review
Help!
|
|
||||
|---|---|---|---|---|---|
| Define- preoperative | show 🗑
|
||||
| Define- intraoperative | show 🗑
|
||||
| Define- perioperative | show 🗑
|
||||
| show | after surgery
🗑
|
||||
| What does preoperative nursing place special emphasis on? | show 🗑
|
||||
| Define- Diagnostic surgery | show 🗑
|
||||
| What kind of conditions or procedures are done for diagnostic surgery? | show 🗑
|
||||
| show | This is performed to resolve a health problem by repairing or removing the cause
🗑
|
||||
| show | Cholecystectomy/ appendectomy/ hysterectomy
🗑
|
||||
| show | This is performed to improve a patient’s functional ability
🗑
|
||||
| What kind of conditions or procedures are done for restorative surgery? | show 🗑
|
||||
| Define- palliative surgery | show 🗑
|
||||
| What kind of conditions or procedures are done for palliative surgery? | show 🗑
|
||||
| Define- cosmetic surgery | show 🗑
|
||||
| What kind of conditions or procedures are done for cosmetic surgery? | show 🗑
|
||||
| Define- elective surgery | show 🗑
|
||||
| What kind of conditions or procedures are done for elective surgery? | show 🗑
|
||||
| show | This requires prompt intervention; may be life threatening if tx is delayed more than 24-48 hr
🗑
|
||||
| show | Intestinal obstruction/ bladder obstruction/ kidney or ureteral stones/ bone fx/ eye injury/ acute cholecystitis
🗑
|
||||
| Define- emergent surgery | show 🗑
|
||||
| What kind of conditions or procedures are done for emergent surgery? | show 🗑
|
||||
| Define- minor surgery | show 🗑
|
||||
| Define- major surgery | show 🗑
|
||||
| show | Incision and drainage (I&D)/ implantation of a venous access device (VAD)/ muscle biopsy
🗑
|
||||
| show | Mitral Valve replacement/ Pancreas transplant/ lymph node dissection
🗑
|
||||
| What kind of conditions or procedures are done for simple surgery? | show 🗑
|
||||
| show | Radical prostatectomy/ radical hysterectomy
🗑
|
||||
| What kind of conditions or procedures are done for minimally invasive surgery? | show 🗑
|
||||
| show | This is when only the most overtly affected areas are involved
🗑
|
||||
| Define- radical surgery | show 🗑
|
||||
| Define- minimally invasive surgery (MIS) | show 🗑
|
||||
| show | This surgery can correct problems/ remove organs/ take tissue for biopsy/ re-route blood vessels/ drain systems
🗑
|
||||
| show | Minimally invasive surgery (MIS)
🗑
|
||||
| Define- inpatient or same-day admission | show 🗑
|
||||
| Define- outpatient or same-day surgery | show 🗑
|
||||
| show | Ambulatory surgical centers/ freestanding surgical centers/physicians' offices/ and ambulatory care centers
🗑
|
||||
| What type of stressors are involved with anaesthsia and surgery | show 🗑
|
||||
| What are some factors that increase risks for surgery and postop | show 🗑
|
||||
| What are some of the medical histories that can effect surgery and postop? | show 🗑
|
||||
| show | antihypertensives/ tricyclic antidepressants/ anticoagulants/ NSAIDS
🗑
|
||||
| What are some cardiac problems that can increase surgical risks? | show 🗑
|
||||
| show | ETOH can lead to delirium tremens
🗑
|
||||
| Define- carboxyhemoglobin | show 🗑
|
||||
| show | Smoking increases the blood levels of this which decreases oxygen delivery to organs
🗑
|
||||
| What is atelectasis? What are the effects on anesthesia? | show 🗑
|
||||
| show | Latex
🗑
|
||||
| If someone is allergic to shellfish- what precaution should be taken in prep for surgery? | show 🗑
|
||||
| Define- autologous donations | show 🗑
|
||||
| show | it increases metabolic rate and depletes potassium/ vit C/ B vitamins/ all which are needed for wound healing and blood clotting
🗑
|
||||
| show | This is where a friend or familyof the same blood typing donated blood specifically for a patient
🗑
|
||||
| show | This is a medication that helps the patient stimulation their own RBC production, given before during and after surgery
🗑
|
||||
| What can be prescribed before surgery that will help RBC formation? | show 🗑
|
||||
| show | before surgery
🗑
|
||||
| Define morbidity | show 🗑
|
||||
| show | deaths
🗑
|
||||
| show | because cardiac problems may cause as many as 30% of surgery related deaths
🗑
|
||||
| How do you do check cardiovascular status? | show 🗑
|
||||
| show | consider age, smoking hx, and chronic illnesses; observe rate rythym depth of respirations and effort, clubbing of fingertips, cyanosis
🗑
|
||||
| show | this affects the excretion of drugs and waste products, including analgesic and anesthetic products. If this is reduced, electrolytes can be altered
🗑
|
||||
| How do you do check renal status? | show 🗑
|
||||
| A patient with a decreased kidney function has confusion, disorientation, apprehension and restlessness. What drugs could cause this? | show 🗑
|
||||
| show | this information is needed before planning preoperative teaching and care after surgery
🗑
|
||||
| How do you do check neurologic status? | show 🗑
|
||||
| What does surgery do to the nutritional status? | show 🗑
|
||||
| show | these provides the body the ability for wound healing and blood clotting
🗑
|
||||
| Negative nitrogen balance may be a result from depleted protein stores. What problem does this present after surgery? | show 🗑
|
||||
| What are the indications for poor fluid nutritional status? | show 🗑
|
||||
| When is preadmission testing performed? | show 🗑
|
||||
| What are the commom lab tests that are ordered for persurgery? | show 🗑
|
||||
| What risk does hypokalemia present to surgical patients? | show 🗑
|
||||
| What risk does hyperkalemia present to surgical patients? | show 🗑
|
||||
| show | CXR-for heart size, infection, lung size, and major vessels and for a baseline. CT or MRI- patient with back pain before spinal surgery. ECG- order age groups or hx of cardiac dz
🗑
|
||||
| show | dehydration, renal failure, acidosis, cellular/tissue damages, and hemolysis of the specimen
🗑
|
||||
| show | NPO status when required amt is inadequate, excessive use of non-potassium sparing diuretics (Spironolactone(Aldactone)), v/d, malnutrition, alkalosis
🗑
|
||||
| show | cardiac or renal failure, HTN, excessive IV with NS, edema, dehydration (hemoconcentration)
🗑
|
||||
| show | NG drainage, v/d, excessive lax or diuretic use, excessive IV with water, syndrome of inappropriate antidiuretic hormone(SIADH)
🗑
|
||||
| Cl is increased in…? | show 🗑
|
||||
| Cl is decreased in…? | show 🗑
|
||||
| CO2 is increased in…? | show 🗑
|
||||
| show | hypervent, diabetic ketoacidosis, diarrhea, lactic acidosis, renal failure, salicylate toxicity
🗑
|
||||
| Nml CO2 level | show 🗑
|
||||
| show | 3.5-5.0
🗑
|
||||
| Nml Na levels | show 🗑
|
||||
| Nml Cl levels | show 🗑
|
||||
| show | 70-110
🗑
|
||||
| show | 0.5-1.2 (differs with gender and age)
🗑
|
||||
| show | 10-20 under 60yrs, 2.9-23 over 60yrs
🗑
|
||||
| show | 11-12., 85%-100%, 1:1:1 pt control ratio
🗑
|
||||
| Nml INR levels | show 🗑
|
||||
| show | 30-40sec
🗑
|
||||
| show | 5.0-10.0
🗑
|
||||
| Nml Hgb levels | show 🗑
|
||||
| Nml Hct levels | show 🗑
|
||||
| Glucose is increased in…? | show 🗑
|
||||
| Glucose is decreased in…? | show 🗑
|
||||
| Creatinine is increased in…? | show 🗑
|
||||
| Creatinine is decreased in…? | show 🗑
|
||||
| BUN is increased in…? | show 🗑
|
||||
| show | overhyration, malnutrition
🗑
|
||||
| PT is increased in…? | show 🗑
|
||||
| PT is decreased in…? | show 🗑
|
||||
| INR is increased in…? | show 🗑
|
||||
| INR is decreased in…? | show 🗑
|
||||
| aPTT is increased in…? | show 🗑
|
||||
| aPTT is decreased in…? | show 🗑
|
||||
| WBC is increased in…? | show 🗑
|
||||
| WBC is decreased in…? | show 🗑
|
||||
| show | dehydration, polycythema, chronic pulm dz, CHF
🗑
|
||||
| show | Blood loss, anemia, liver failure
🗑
|
||||
| Hct is increased in…? | show 🗑
|
||||
| show | Blood loss, anemia, renal failure
🗑
|
||||
| show | the pt understand nature and reason, who will be perform it and if others will be there, all available options and risks assoc, the risk assoc with procedure and the use of anesthesia and its potential outcomes
🗑
|
||||
| Define splinting and function. | show 🗑
|
||||
| show | it stimulates intestinal motility, enhances lung expansion, mobilizes secretions, promotes venous return, prevents joint rigity, and relieves pressure
🗑
|
||||
| show | obese, older than 40yrs, CA, decreased mobility, immobility, spinal cord injury, hx of DVT, PE, varicose veins, edema, taking oral contraceptives, smoke, decreased cardiac output, and hip fx, or total hip or knee replacement
🗑
|
||||
| Preoperative medications | show 🗑
|
||||
| Medication for rapid emptying the stomach for surgery | show 🗑
|
||||
| Medication for long procedures that help prevent the cause of ulcers | show 🗑
|
||||
| Preop check list includes… | show 🗑
|
||||
| MEDICAL SURGICAL- PERIOPERATIVE CHAPTER | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kmichalle
Popular Nursing sets