Anaesthetics and surgery Flashcards
what is a laparatomy
laparoscopic incision in and around abdomen area
What is a thoracotomy
incision along side of thorax
What are common complications with surgery
- Mortality
- Bleeding
- Infection
- atrial fibrillation
- Myocardial infarction
- stroke
- respiratory
What is the most common restriction following sternal surgeries? is it conclusive?
no lifting and/or pulling or pushing of greater than 5 lbs
no - argument surrounding this topic, standard sternotomy does not need any restrictions
What is the purpose of an ECG
monitor patients cardiac rhythm and rate
what are 3 results of pain meds
- BP drop (diastolic drop greater than 20% of baseline)
- Respiratory rate drop (less than 10 per minute)
- Significantly altered mental status
Can PT’s press the PCA for the patient
no
what is an epidural
catheter inserted in between the vertebrae in epidural space to allow administration of medication
What is a pigtail draink
drains fluid from body with no suction
what is a JP drain
removes fluid with constant suction
what is hemovac
- drains incision/wound and has suction
What is a major CV concern post-operative
Cardiovascular embolism
What is an embolus
aparticle that moves about in our blood vessels, either in the veins or arteries
what is a thrombus
emboli that are composed of clotting blood
what is a thrombo-embolism
a moving thrombus
What is thrombophlebitis
an inflammatory process that causes a blood clot to form and block one or more veins usually in your legs
What are the three general deep vein thrombosis risk factors
- Hypercoagulability
- Vascular damage
- Circulatory stasis
Anaesthetic causes _____ deep breathing
decreased
Anaesthetic causes _____ tidal volume
decreased
Anaesthetic causes _____ coughing and sign inhibition
decreased
Anaesthetic causes _____ risk of blood clots and general decreased circulation disorders
increased
Anaesthetic causes _____ position and mobilization
decreased
Anaesthetic causes _____ respiratory rate
increased
Anaesthetic causes _____ need of appropriate closing volume
increased
Anaesthetic causes _____ functional residual capacity
decreased
What is the overall overcome of anaesthetic post-operatively
- Increased risk of infection
- Increased risk of secretion retention
- Increased risk of atelectasis
- increase immobility
- increased length of stay
- increased complications
- increased work of breathing
- decreased vital capacity
What are the main physiotherapy treatment goals post-operatively
- breathing
2. moving
post operatively what is the PT Treatment regarding the chest
- Positioning
- Suctioning
- Deep breathing/coughing
- manual chest physiotherapy (percussion
What are other areas of physiotherapy treatment post op
mobilization
- POD #1 - up to chair/dangle off bed
- POD #2 - AAT
- Discharge - equipment referral, community PT
