Anaesthetics and surgery

Question 1

what is a laparatomy

Answer 1

laparoscopic incision in and around abdomen area

Question 2

What is a thoracotomy

Answer 2

incision along side of thorax

Question 3

What are common complications with surgery

Answer 3

• Mortality
• Bleeding
• Infection
• atrial fibrillation
• Myocardial infarction
• stroke
• respiratory

Question 4

What is the most common restriction following sternal surgeries? is it conclusive?

Answer 4

no lifting and/or pulling or pushing of greater than 5 lbs

no - argument surrounding this topic, standard sternotomy does not need any restrictions

Question 5

What is the purpose of an ECG

Answer 5

monitor patients cardiac rhythm and rate

Question 6

what are 3 results of pain meds

Answer 6

• BP drop (diastolic drop greater than 20% of baseline)
• Respiratory rate drop (less than 10 per minute)
• Significantly altered mental status

Question 7

Can PT’s press the PCA for the patient

Answer 7

no

Question 8

what is an epidural

Answer 8

catheter inserted in between the vertebrae in epidural space to allow administration of medication

Question 9

What is a pigtail draink

Answer 9

drains fluid from body with no suction

Question 10

what is a JP drain

Answer 10

removes fluid with constant suction

Question 11

what is hemovac

Answer 11

• drains incision/wound and has suction

Question 12

What is a major CV concern post-operative

Answer 12

Cardiovascular embolism

Question 13

What is an embolus

Answer 13

aparticle that moves about in our blood vessels, either in the veins or arteries

Question 14

what is a thrombus

Answer 14

emboli that are composed of clotting blood

Question 15

what is a thrombo-embolism

Answer 15

a moving thrombus

Question 16

What is thrombophlebitis

Answer 16

an inflammatory process that causes a blood clot to form and block one or more veins usually in your legs

Question 17

What are the three general deep vein thrombosis risk factors

Answer 17

• Hypercoagulability
• Vascular damage
• Circulatory stasis

Question 18

Anaesthetic causes _____ deep breathing

Answer 18

decreased

Question 19

Anaesthetic causes _____ tidal volume

Answer 19

decreased

Question 20

Anaesthetic causes _____ coughing and sign inhibition

Answer 20

decreased

Question 21

Anaesthetic causes _____ risk of blood clots and general decreased circulation disorders

Answer 21

increased

Question 22

Anaesthetic causes _____ position and mobilization

Answer 22

decreased

Question 23

Anaesthetic causes _____ respiratory rate

Answer 23

increased

Question 24

Anaesthetic causes _____ need of appropriate closing volume

Answer 24

increased

Question 25

Anaesthetic causes _____ functional residual capacity

Answer 25

decreased

Question 26

What is the overall overcome of anaesthetic post-operatively

Answer 26

• 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

Question 27

What are the main physiotherapy treatment goals post-operatively

Answer 27

1. breathing

2. moving

Question 28

post operatively what is the PT Treatment regarding the chest

Answer 28

• Positioning
• Suctioning
• Deep breathing/coughing
• manual chest physiotherapy (percussion

Question 29

What are other areas of physiotherapy treatment post op

Answer 29

mobilization

• POD #1 - up to chair/dangle off bed
• POD #2 - AAT
• Discharge - equipment referral, community PT