Pre/Intra/Post Operative Care Flashcards
Categories of Surgery
▫️Emergency (Aortic dissection repair- prolonged, often uncontrolled high BP)
▫️Urgent (<48hrs, ectopic pregnancy)
▫️Required (Pace-Maker insertion)
▫️Elective (planned, ex: hysterectomy, knee/hip arthroplasty)
▫️optional (mammoplasty)
Types of Surgery
- Diagnostic
- Curative/repair
- Palliative
- Preventative
- Explorative
- Cosmetic
A type of Surgery to determine the presence or extent of a pathological abnormality (scope, biopsy)
Diagnostic
A type of Surgery, for elimination of pathological condition (removal of appendix) or repair of anatomy (fractured femur)
▫️Curative/Repair
A type of Surgery, is for alleviation of symptoms at end of life without curing (to remove/alleviate obstructions caused by tumours; airway- esophageal stent, obstructed bowels -ostomy)
Palliative
A type of Surgery, for the removal of pre-malignant (pre-cancerous) tissues.
Preventative
A Surgical examination to determine the nature/extent of disease (Laparotomy)
▫️Explorative
A type of Surgery for breast re-construction, skin grafting following severe burns
Cosmetic
The basic information for nurses in the surgical setting:
▫️know the nature of the disorder necessitating surgery and any coexisting disease processes
▫️identify the individual patient’s response to the stress of surgery
▫️assess the results of appropriate preoperative diagnostic tests
▫️consider the bodily alterations and potential risks and complications associated with the surgical procedure
Pre-op assessment
▫️review lab and diagnostic studies
▫️review patients health history
▫️assess physical, psychological and culture needs
Legal prep for surgery. All required forms are signed and in chart.
▫️informed consent ▫️blood transfusions ▫️advance directives ▫️power of attorney ▫️DNR
Who is responsible for obtaining consent before surgery?
▫️Surgeon
It’s a Neuromuscular blocking agent:
-pt. will definitely be intubated bcoz the drug suppresses nervous system functioning.
▫️rocuronium “roc”
Spinal anaesthesia
Injection of agent into CSF of ____, usually below ____.
Autonomic, sensory and motor blockade
subarachnoid space
L2
Epidural block
Injection of agent into epidural space
does not enter _____
Sensory pathway blocked, but ____ fibers intact.
CHF
motor