chapter 2, surgical patient
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chapter 2, surgical patient - Marcador
chapter 2, surgical patient - Detalles
Niveles:
Preguntas:
33 preguntas
| 🇬🇧 | 🇬🇧 |
| Surgery is classified as: (3) | Elective, urgent, or emergent |
| (classification of surgical procedures) elective | - performed on basis of pts. choice |
| Elective surgery is | Not necessary to preserve life and may be performed at a time the patient chooses |
| (classification of surgical procedures) urgent | - necessary for pt health |
| Urgent surgery is | Required to keep additional health problems from occurring |
| (classification of surgical procedures) emergency/emergent | - must be done immediately to save life or body part |
| Emergent surgery is | Performed immediately to save the individuals life or to preserve the function of a body part or system |
| (surgical terminology) anastomoses | - joining of two ducts/blood vessels to allow flow from one to another - to bypass an area |
| Surgery is performed for reasons including (9) | Diagnostic, ablative, palliative, reconstructive, curative, preventive, transplant, constructive, cosmetic |
| (surgical terminology) -ectomy | - surgical removal of |
| (surgical terminology) Lysis | - destruction or dissolution |
| (surgical terminology) -orrhaphy | - surgical repair of |
| (surgical terminology) -oscopy | - direct visualization with a scope |
| (surgical terminology) -ostomy | - opening made to allow the passage of drainage |
| (surgical terminology) -otomy | Opening into |
| (surgical terminology) -pexy | - fixation of |
| (surgical terminology) -plasty | - plastic surgery |
| (common surgical settings) 1. inpatient: 2. one-day (same day surgery): 3. outpatient: 4. short-stay surgical center: 5. short stay unit: 6. mobile surgery unit | 1. - pt hospitalized for surgery 2. - pt admitted the day surgery is scheduled then discharged the same day 3. - pt (not hospitalized) admitted either to short stay or unit or directly to surgical site 4. independently owned agency, surgery performed with overnight hospitalization not required 5. department where pt stay does not exceed 24 hours 6. a unit that moves place to place; moves to pt instead of pt going to unit |
| The perioperative period encompasses the __________ phase (before surgery), __________ phase (during surgery), and _________ phase (after surgery) | Preoperative intraoperative postoperative |
| Perioperative nursing stresses the importance of providing continuity of care for the surgical patient using what? | The nursing process |
| Preoperative fear has been linked to __________ and __________ behavior | Intraoperative and postoperative |
| Polypharmacy | - concurrent use of multiple medications |
| The use of multiple medications can lead to what? and interactions with other medications in the perioperative setting | Adverse drug reactions |
| A patient with a history of allergic responsiveness is more likely to have a hypo sensitivity reaction to what? | Anesthesia agents |
| (herb) garlic (preoperative considerations) ? | - potential for bleeding |
| (herb) ginkgo biloba (preoperative considerations) ? | - potential for bleeding |
| (herb) St. John’s Wart (preoperative considerations) ? | Shouldn’t be used with psychoactive drugs, discontinue before surgery because possible drug interactions |
| Lab tests received before surgery include | UA, CBC, and blood chemistry profile |
| One essential electrolyte assessed is what? because abnormal levels can lead to what? | Potassium, dysrhythmias |
| (surgeries for which coughing is contraindicated) 1. intracranial 2. eye 3. ear 4. nose 5. throat 6. spinal | Increases ICP, mouth must be kept open if pt must cough |
| Anticoagulants antihypertensives anti seizure corticosteroids diuretics herbal therapies insulin NSAIDS | Medications with special implications for the surgical patient |
| Types of regional anesthesia | Epidural, nerve block, spinal |