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524 > effects of anaesthetics and surgery > Flashcards

effects of anaesthetics and surgery Flashcards

1
Q

risk factors for cardiac surgery

A 
elderly
repeat surgery
smoker
substance abuse
fat
PMH
lung/ kidney disease
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2
Q

specific risks for cardiac surgery

A

dec left ventricular function

female

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3
Q

coronary artery bypass graft

A

new routes around narrowed or blocked arteries

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4
Q

type of incision CABG

A

sternotomy

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5
Q

anaesthetic for CABG

A

general

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6
Q

post op anaesthetic for CABG

A

patient control

regularly

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7
Q

LOS for CABG

A

5-7 days

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8
Q

common complication for CABG

A

bleeding

infenction

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9
Q

valve repair/ replacement

A

mechanical ro biological replacement of valve in heart

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10
Q

operative aneasethic
post op aneasitc
LOS

A

all same as CABG

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11
Q

common complications for valve repealing

A

bleeding

infection

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12
Q

more likely mortality CABG or valve repair

A

valve

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13
Q

aortic dissection

A

blood filled channel in aortic wall

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14
Q

most common life threatening disorder affecting aorta

A

aortic dissection

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15
Q

risk factors for aortic dissection

A

HTN, preg, complication from previous medical treatment

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16
Q

clinical presentation of aortic dissection

A

sudden chest pain from back down

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17
Q

medical treatment aortic dissection

A

surgery

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18
Q

conqueneces if aortic dissection not treated

A 
rupture
extortion (into aortic valve)
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19
Q

lobectomy

A

excision of a lobe of the lung

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20
Q

post op aneasthic for lobectomy

A

thoracic epidural

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21
Q

complications lobectomy

A

wound infection

brachial plexus injruy

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22
Q

pneuomnectory

A

removal of lung

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23
Q

complications for pneonectomy

A

wound infection

brachial plexus injury

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24
Q

esophagectomy

A

removal of parts of esophagus

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25
Q

post operative anesthetics

A

epidural , oral pain medication

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26
Q

complication for esophagectomy

A

infection of chest and abdomen

27
Q

LOS for esophagectomy

A

10-14

28
Q

most common resitrctional sternal guidelines

A

no standrad

common is not lifter or pulling over 5lbs

29
Q

pacemaker / ICD

A

control abnormal hear rhythm

30
Q

what ICD

A

implantable cardioverter defibrillator

31
Q

can pace maker and ICD be combined

A

yes

32
Q

how long is pacemaker / ICD procedure

A

1-4 Horus

33
Q

Pacemaker avoid these acitifivty

A

24hr moving shoulder
2 weeks lift
4 weeks life over 5kg
8 shovelling

34
Q

what can you do pacemaker

A

24 bend elbow
2 weeks move shoulder
4 weeks regular acts
8 all accts

35
Q

ECG purple

A

monster cardiac rhythm and rate

36
Q

PCA

A

control dose of meds (self administered)

37
Q

epidural

A

treat symptoms of surgery and labour

38
Q

precautions of epidural

A

ensure line is aped

39
Q

NG tube

A

in patient mouth or nose to give stomach function

40
Q

precautions of NG tube

A

feeds are off or on pause before PT treatment
don’t lower head
maintain >30degs

41
Q

contraindications NG tube

A

NG tube in same name as suctioning

42
Q

chest tube

A

air

43
Q

contradindiaciton chest tube

A

ensure collection chamber is kept away from insertion

44
Q

urinary catheter

A

monster unitary output

45
Q

conrradinciaton urinare catheter

A

back flow of urine

keep chamber below level of bladder

46
Q

JP drain

A

remove fluid with constant suction

47
Q

hemovac

A

drain indecision wound has suction (i.e breast)

48
Q

embolus

A

moves in blood

49
Q

thrombus

A

emboli composed of clotting blood

50
Q

thrombosis embolism

A

a moving thrombus

51
Q

deep vein thrombus

A

embolism formed in leg

52
Q

pulmonary thromboembolism

A

embolism one artery of lung

53
Q

phelbothrombrosis

A

thrombosis in vein

54
Q

embolism epidemiology

A

30% of patients having major surgery

55
Q

General risk factors embolism

A 
bed ridden
obese
blood clotting disorder
aneasethci
HRT
56
Q

3 DVT risk factors

A

hypercoagulabilty, vascular damage, circulatory stasis

blood, vessel, flow

57
Q

signs n symptoms DV

A

selling in calf and ankle
leg pain
dorsi pain
red, warm leg

58
Q

DVT treatment

A

blood thinners

59
Q

prevent DVT

A

mobilty, bed exercises

60
Q

DVT prophylaxis treatment

A

walk 30-45 minutes, 5-7 days.week

ankle pumps, knee extensions, seated march

61
Q

effects of general aneasethic post op

A 
dec: deep breathing
tidal volume
coughing
mobilization
funcitonal residual capacity

inc: need of approbate closing volume
RR,
Risk of blood clots

62
Q

outcomes of aesethic

A 
inc risk of: infection
secretion rention
atelectatsi
immbolity
LOS
complications
work of breathing

dec vital capacity

63
Q

main goals physiotherapy aesthetic

A

breathing

moving

524 (25 decks)

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