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PERI OP (Part 1) Flashcards

1
Q

total surgical experience

A

peri operative

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2
Q

before surgery

A

pre op

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3
Q

during surgery

A

intra op

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4
Q

after surgery

A

post op

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5
Q

types of surgery

A
  1. acc to blood loss
  2. acc to purpose
  3. acc to time
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6
Q
  • higher complications
  • greater than 500ml blood loss
  • general anesthesia
  • internal organs
A

major surgery

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7
Q
  • lower complications
  • less than 500ml blood loss
  • local anesthesia
  • ENT, skin
A

minor surgery

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8
Q

identify malignancy/ disease

A

diagnostic

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9
Q

example of diagnostic test

A

biopsy

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10
Q

brought by congenital disease (ex.palatoplasty)

A

constructive

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11
Q

repair (ex. plastic surgery)

A

reconstructive

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12
Q

removal of organs (ex.appendectomy)

A

ablative

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13
Q

dec. s/sx

A

pallative

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14
Q

done ASAP

A

emergency

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14
Q

done 30 mins to 2 hrs

A

urgency

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15
Q

by choice

A

optional

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16
Q

when pt decided to go to surgery until acceptance to OR

A

pre op

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17
Q

scheduled

A

elective

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18
Q

operative consent

A

informed consent

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19
Q

reqs in signing informed consent:

A
  • age
  • conscious
  • coherent
  • sign
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20
Q

the one who explains the procedure

A

Doctor/ MD

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21
Q

pt can answer time, person, place

A

coherent

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22
Q

the one who witness signing informed consent

A

nurse

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23
Q

best way to identify pt

A

bracelet

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24
Q

2nd option in identifying the pt

A

asking the name

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25
Q

3rd option in identifying the pt

A

birthday

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26
Q

best skin prep

A

bathing

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27
Q

best time to bath

A

nearest time of operation

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28
Q

agent for handwashing. also used for bathing

29
Q

agent for surgical handwashing

A

chlorhexidine

30
Q

used for markings

A

gentian violet

31
Q

used for incision

A

povidone iodine

32
Q

used in instrument

A

gluteraldehyde (cidex)

33
Q

used for specimen

A

formaldehyde (formalin)

34
Q

direction in shaving

A

towards hair growth

35
Q

remove nail polish

36
Q

used in ecg

37
Q

make up:
contact lens:
dentures:
hearing aid:
amulet:

A

hearing aid and amulet were the only allowed

38
Q

procedure used in major surgery

A

blood transfusion

39
Q

how many rn need in blood transfusion?

40
Q

how many hrs is whole blood transfusion?

41
Q

drop factor for whole blood transfusion?

42
Q

how many mins is platelet transfusion?

43
Q

DF for platelet transfusion

A

fast drop (cryopresipitate)

44
Q

side drip”

A

PNSS 0.9% NACl

45
Q

how many mins is warming blood?

46
Q

what happens if warming of blood exceeds 15 mins?

A

hyperkalemia

47
Q

used to bowel evacuation

A

cleansing enema

48
Q
  • 1000cc
  • 18 in
  • all parts of colon
A

high cleansing enema

49
Q

position for HCL sigmoid and descending large intestine

A

left lateral

50
Q

position for HCL transverse

51
Q

position for ascending

A

right lateral

52
Q
  • 500ml
  • 12 in
  • sigmoid and descending
A

low cleansing enema (HCL)

53
Q

NGT -
Steam stimulation -
HCE -
LCE -
Length of insertion (enema) -
Male Cath. -
Female Cath. -
Gastrostomy -
Colostomy -

A

NGT - 12
Steam stimulation - 12 to 18
HCE - 18
LCE - 12
Length of insertion (enema) - 3 to 4
Male Cath. - 6 to 9
Female Cath. - 3 to 4
Gastrostomy - 18
Colostomy - 18

54
Q

5 incision

A
  • midline
  • mcburry
  • subcostal
  • paramedian
  • pfannenstiel
55
Q

used to prevent atelactasis

A

deep breathing exercises

56
Q

how to deep breath exercise

A

nose - inhale
mouth - exale
GRADUAL
WITH SPLINT

57
Q

prevent pneumonia

A

coughing exercise

58
Q

best pre op health teaching. done asap

A

ambulation

59
Q

used to supress HCL

A

H2 receptor

60
Q

ex. of h2 receptor

A

ranitidine, cimetidine

61
Q

used to dec. secretions

A

anticholinergic

62
Q

ex. of anticholinergic

A

atropine sulfate

63
Q

used to dec. pain

A

narcotic analgesic

64
Q

ex. of narcotic analgesic

A

morphine sulfate

65
Q

used to dec. anxiety prior to surgery

66
Q

ex. of sedatives

67
Q

3 PRE OP

A
  • preparation
  • health teaching
  • medication
68
Q

7 PRE OP PREPARATION

A
  1. informed consent
  2. pt identification
  3. skin prep
  4. other prep
  5. blood transfusion
  6. cleansing enema
  7. incision site
69
Q

3 PRE OP HEALTH TEACHING

A
  1. deep breathing exercise
  2. coughing exercise
  3. ambulation
70
Q

4
PRE OP MEDICATIONS

A
  1. H2 receptor
  2. anticholinergic
  3. narcotic analgesic
  4. sedatives

Med (40 decks)

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