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Rn 2024 > PERIOPERATIVE NURSING > Flashcards

PERIOPERATIVE NURSING Flashcards

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1
Q

Nursing care provided in the total SURGICAL experience of the Patient

A

Perioperative nursing

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2
Q

ZONES in the OR
- outside the OR complex
- hospital lobby

A

Outer zoens (non restricted Sub a)

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3
Q

ZONES in the OR
- interchange
- dressing rooms

A

Outer Zones (non restricted sub B)

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4
Q

ZONES in the OR
- Holding Area
- Storage Room
- Scrubbing Area
- PACU

A

CLEAN ZONE (Semi Restricted Zone)

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5
Q

ZONES in the OR
- OR room
- Storage area w/ sterile supplies
- open sterile package

A

Restricted Zone (Sterile)

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6
Q

ZONES in the OR
- close to the exit doors

A

Disposal Zone

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7
Q

Pathologic Process
- wearing of surface

A

Erosion

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8
Q

Pathologic Process
- Impairment of vital fluids

A

Obstruction

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9
Q

Pathologic Process
- Abnormal new growth

A

Tumor

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10
Q

Pathologic Process
- rupture
ex. due to abdominal alterations

A

Perforation

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11
Q

CLASSIFICATION OF SURGERY BY PURPOSE

  • To make a diagnosis
    ex. Biopsy
A

Diagnostic

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12
Q

CLASSIFICATION OF SURGERY BY PURPOSE

  • Extensive way to diagnose
  • manual or with cameras
  • expensive
    ex. Ex-Lap
A

Exploratory

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13
Q

CLASSIFICATION OF SURGERY BY PURPOSE

  • Relieve of burden
  • give comfort
  • last treatment modalities
    ex. Amputation
A

Palliative

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14
Q

CLASSIFICATION OF SURGERY BY PURPOSE

  • Treatment of disease
    ex. Angioplasty
A

Curative

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15
Q

CLASSIFICATION OF SURGERY BY PURPOSE

TYPES of CURATIVE:
- Removal of Organ
- -ectomy

A

Ablative

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16
Q

CLASSIFICATION OF SURGERY BY PURPOSE

TYPES of CURATIVE:
- Repair of organ (Congenital)

A
  • Constructive
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17
Q

CLASSIFICATION OF SURGERY BY PURPOSE

TYPES of CURATIVE:
- Repair of organ (Damaged)

A

Reconstructive

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18
Q

CLASSIFICATION OF SURGERY BY PURPOSE
- Beautification
- correction of defect

A

Cosmetic surgery

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19
Q

CLASSIFICATION OF SURGERY BY URGENCY

  • Save life
  • w/o delay
    ex. gunshot wounds, Stab wounds
A

EMERGENT

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20
Q

CLASSIFICATION OF SURGERY BY URGENCY

  • can be delayed up to 24-30 hours
A

Urgent

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21
Q

CLASSIFICATION OF SURGERY BY URGENCY

  • planned surgeries
  • it will not cause harm if surgery is not performed
A

Elective

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22
Q

CLASSIFICATION OF SURGERY BY URGENCY
- few weeks to months
ex. thyroid surgeries

A

Required

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23
Q

CLASSIFICATION OF SURGERY BY URGENCY
- patient decision
ex. Cosmetic surgeries

A

Optional

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24
Q

CLASSIFICATION OF SURGERY BY DEGREE OF RISK

  • not prolonged
  • local anesthesia
  • minor bleeding
A

Minor Surgeries

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25
Q

CLASSIFICATION OF SURGERY BY DEGREE OF RISK

  • Prolonged (more than 2hrs)
  • local or general anesthesia
  • > < 300 ml of blood
A

Major Surgeries

26
Q

CLASSIFICATION OF SURGERY BY EXTENT:

  • only affected area is involved
A

Simple

27
Q

CLASSIFICATION OF SURGERY BY EXTENT:

  • (+) extension beyond surgery
A

Radical

28
Q

CLASSIFICATION OF SURGERY BY DEGREE OF RISK

If minor becomes radical it will be considered as?

A

MAJOR

29
Q

PHASES OF PERIOPERATIVE NURSING

  • Patient is admitted up to endorsement in the OR
A

Preoperative Phase

30
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

What is obtained by the MD
given by the patient
and witnessed by the nurse

A

Consent

31
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

how many hours atleast for the patient to fast before a surgery

A

Atleast 8 hours

32
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

How many days should the patient be bowel prep before the surgery

A

3 days

33
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

Why nail polish is removed before a surgery?

A

Pulse Ox Accuracy

34
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

Why jewelries and underwear are removed before a surgery?

A

To maintain sterility

35
Q

PHASES OF PERIOPERATIVE NURSING

PREOPERATIVE

If the patient had this, it should be remove to prevent possible aspiration of the object

A

Dentures

36
Q

PHASES OF PERIOPERATIVE NURSING

  • the patient is endorsed to OR up to being enrolled in the PACU
A

IntraOperative Phase

37
Q

PHASES OF PERIOPERATIVE NURSING

INTRAOPERATIVE

Members of the OR team

A
  • Surgeons
  • Assist Surgeons
  • Anesthesiologist
  • Scrub Nurse
  • Circulating Nurse
38
Q

PHASES OF PERIOPERATIVE NURSING

INTRAOPERATIVE

  • The one in-charge of the overall sterile area
  • handling of instruments
A

SCRUB NURSE

39
Q

PHASES OF PERIOPERATIVE NURSING

INTRAOPERATIVE

  • Coordinates transaction inside the OR
  • Responsible for counting instruments
  • the gives the go signal before starting the closing
A

CIRCULATING NURSE

40
Q

PHASES OF PERIOPERATIVE NURSING

INTRAOPERATIVE

Scrub nurse’s responsibility after surgery

A

Cleaning of instruments

41
Q

PHASES OF PERIOPERATIVE NURSING

Patient enrolled in pacu up to stepping down in the Ward

A

POST OPERATIVE PHASE

42
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY

Caused by paralysis of vasomotor nerve and volume loss due to dhn or bleeding

A

Hypotension

43
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY

Rapid movement of CSF from the brain to the spinal cord vice versa

A

Spinal Headache

44
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY

  • Break in the aseptic technique
  • signs of fever, foul smelling discharges, swelling
A

Wound infection

45
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY

Disruption in phases of healing

A

Wound healing problem

46
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY
WOUND HEALING PROBLEM:

  • Partial or total loss wound edges caused by poor surgical closure, inc. intra abdominal pressure
A

Wound dehiscence

47
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY
WOUND HEALING PROBLEM:

  • uncontrolled evisseration manifested by seroussangenous discharge
A

Evisseration

48
Q

PHASES OF PERIOPERATIVE NURSING

POST OPERATIVE
COMPLICATIONS OF SURGERY:

Prevention of dehiscence or evisseration

A
  • Control activities that inc. intra abdominal pressure such as vomiting, coughing and splinting
  • daily wound care
  • ambulation; if poor healing, bed rest
49
Q

DEFINITION OF ASEPSIS
- clean technique
- freedom fr most pathogen
- prevention of transmission

A

MEDICAL ASEPSIS

50
Q

DEFINITION OF ASEPSIS
- Sterile technique
- freedom to all pathogen
- prevention of entry of microorganisms

A

SURGICAL ASEPSIS

51
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

Used to hold tissue or organs together; also obstructs blood vessels
ex. Forceps

A

Clamping or Hemostats

52
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

used to open or hold body cavity for a better vision
ex. Army navy, richardsons

A

Retracting Instruments

53
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

Used to cut muscles and tissues
ex. Mayo scissors, Metz

A

Cutting/dissecting Instruments

54
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

used to hold tissues together w/ a needle in surgical closing and also ligates blood vessels

types:
Sutures
Ligatures

A

Suturing Instruments

55
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

TYPES OF SUTURES

  • comes from environment
  • silk
  • (+) for allergic reaction due to latex content
  • absorbable
A

NATURAL MADE SUTURES

56
Q

CLASSIFICATION OF BASIC SURGICAL INSTRUMENTS

TYPES OF SUTURES

  • Fine materials
  • lesser reactions
  • non absorbable
  • returns in hospi in 7-10 days for removal of sutures
A

SYNTHETIC MADE SUTURES

57
Q

TYPES OF ANESTHESIA

It blocks the nerve impulses
- no sensory
- no motor
- no ans
- can be topical or IV, SubQ

A

LOCAL ANETHESIA

58
Q

TYPES OF ANESTHESIA

  • it produces a. total loss of consciousness resulting to certain conditions:
    • Amnesia
    • analgesic
    • hypnosia
    • seizures
A

GENERAL ANESTHESIA

59
Q

TYPES OF ANESTHESIA

infiltrating a peripheral nerve with an anesthetic agent and blocking transmission to avoid or relieve pain.

  • numbs a greater portion of the body (abdomen downward)
A

REGIONAL ANESTHESIA

60
Q

TYPES OF ANESTHESIA

REGIONAL ANESTHESIA:

  • injected in the subarachnoid area
  • numbs lower abdominal area, lower extremities
  • used in abdominal surgeries
  • may progress in to general anes
A

SPINAL ANESTHESIA

61
Q

TYPES OF ANESTHESIA

REGIONAL ANESTHESIA:

  • introduced in the epidural area
  • used in labor and delivery
A

EPIDURAL ANESTHESIA

62
Q

TYPES OF ANESTHESIA

REGIONAL ANESTHESIA:

  • introduced in the epidural area
  • used in labor and delivery
A

EPIDURAL ANESTHESIA

Rn 2024 (3 decks)

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