PERI OP (Part 1) Flashcards
1
Q
total surgical experience
A
peri operative
2
Q
before surgery
A
pre op
3
Q
during surgery
A
intra op
4
Q
after surgery
A
post op
5
Q
types of surgery
A
- acc to blood loss
- acc to purpose
- acc to time
6
Q
- higher complications
- greater than 500ml blood loss
- general anesthesia
- internal organs
A
major surgery
7
Q
- lower complications
- less than 500ml blood loss
- local anesthesia
- ENT, skin
A
minor surgery
8
Q
identify malignancy/ disease
A
diagnostic
9
Q
example of diagnostic test
A
biopsy
10
Q
brought by congenital disease (ex.palatoplasty)
A
constructive
11
Q
repair (ex. plastic surgery)
A
reconstructive
12
Q
removal of organs (ex.appendectomy)
A
ablative
13
Q
dec. s/sx
A
pallative
14
Q
done ASAP
A
emergency
14
Q
done 30 mins to 2 hrs
A
urgency
15
Q
by choice
A
optional
16
Q
when pt decided to go to surgery until acceptance to OR
A
pre op
17
Q
scheduled
A
elective
18
Q
operative consent
A
informed consent
19
Q
reqs in signing informed consent:
A
- age
- conscious
- coherent
- sign
20
Q
the one who explains the procedure
A
Doctor/ MD
21
Q
pt can answer time, person, place
A
coherent
22
Q
the one who witness signing informed consent
A
nurse
23
Q
best way to identify pt
A
bracelet
24
2nd option in identifying the pt
asking the name
25
3rd option in identifying the pt
birthday
26
best skin prep
bathing
27
best time to bath
nearest time of operation
28
agent for handwashing. also used for bathing
triclosan
29
agent for surgical handwashing
chlorhexidine
30
used for markings
gentian violet
31
used for incision
povidone iodine
32
used in instrument
gluteraldehyde (cidex)
33
used for specimen
formaldehyde (formalin)
34
direction in shaving
towards hair growth
35
remove nail polish
accetone
36
used in ecg
alcohol
37
make up:
contact lens:
dentures:
hearing aid:
amulet:
hearing aid and amulet were the only allowed
38
procedure used in major surgery
blood transfusion
39
how many rn need in blood transfusion?
2
40
how many hrs is whole blood transfusion?
4hrs
41
drop factor for whole blood transfusion?
KVO
42
how many mins is platelet transfusion?
15 - 30
43
DF for platelet transfusion
fast drop (cryopresipitate)
44
side drip"
PNSS 0.9% NACl
45
how many mins is warming blood?
15 mins
46
what happens if warming of blood exceeds 15 mins?
hyperkalemia
47
used to bowel evacuation
cleansing enema
48
- 1000cc
- 18 in
- all parts of colon
high cleansing enema
49
position for HCL sigmoid and descending large intestine
left lateral
50
position for HCL transverse
supine
51
position for ascending
right lateral
52
- 500ml
- 12 in
- sigmoid and descending
low cleansing enema (HCL)
53
NGT -
Steam stimulation -
HCE -
LCE -
Length of insertion (enema) -
Male Cath. -
Female Cath. -
Gastrostomy -
Colostomy -
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
5 incision
- midline
- mcburry
- subcostal
- paramedian
- pfannenstiel
55
used to prevent atelactasis
deep breathing exercises
56
how to deep breath exercise
nose - inhale
mouth - exale
GRADUAL
WITH SPLINT
57
prevent pneumonia
coughing exercise
58
best pre op health teaching. done asap
ambulation
59
used to supress HCL
H2 receptor
60
ex. of h2 receptor
ranitidine, cimetidine
61
used to dec. secretions
anticholinergic
62
ex. of anticholinergic
atropine sulfate
63
used to dec. pain
narcotic analgesic
64
ex. of narcotic analgesic
morphine sulfate
65
used to dec. anxiety prior to surgery
sedative
66
ex. of sedatives
diazepam
67
3 PRE OP
- preparation
- health teaching
- medication
68
7 PRE OP PREPARATION
1. informed consent
2. pt identification
3. skin prep
4. other prep
5. blood transfusion
6. cleansing enema
7. incision site
69
3 PRE OP HEALTH TEACHING
1. deep breathing exercise
2. coughing exercise
3. ambulation
70
4
PRE OP MEDICATIONS
1. H2 receptor
2. anticholinergic
3. narcotic analgesic
4. sedatives
