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MedSurg 1 > pre, intra, & post operative care > Flashcards

pre, intra, & post operative care Flashcards

1
Q

preoperative phase

A

decision to have surgery till OR table

baseline data, teaching, and transportation

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2
Q

intraoperative phase

A

while in the OR

safety, monitoring, stay with conscious pt

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3
Q

postoperative phase

A

PACU to follow-up visit

communication, assessment, intervention, teaching

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4
Q

PACU

A

post-anesthesia care unit

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5
Q

-ectomy

A

removal

appendectomy

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6
Q

-lysis

A

destruction of tissue

electrolysis

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7
Q

-orrhaphy

A

repair

herniorrhaphy

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8
Q

-oscopy

A

view a structure

colonoscopy

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9
Q

-ostomy

A

create an opening

ileostomy

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10
Q

-otomy

A 
cutting into
(osteotomy)
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11
Q

-plasty

A

reconstruction

arthroplasty

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12
Q

diagnostic surgery

A

biopsy

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13
Q

curative/ablative surgery

A

remove tumor or organ

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14
Q

reconstructive surgery

A

repair of wounds

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15
Q

cosmetic surgery

A

improve appearance

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16
Q

transplant surgery

A

take and replace organs

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17
Q

constructive surgery

A

restores function

18
Q

prevention surgery

A

removal of moles

19
Q

exploratory surgery

A

laps

20
Q

palliative surgery

A

pain relief

21
Q

seriousness of surgery

classifications

A

minor: minimal physical damage with low risk
major: extensive

22
Q

urgency of surgery

classifications

A

elective: suggested, not essential
urgent: 1-2 days needed for health
emergency: now, life-saving

23
Q

physical status classification - what are P1-P6? which are in/outpatient?

A

P1 - healthy pt
P2 - pt w/ mild systemic disease
P3 - pt w/ severe systemic disease
P4 - pt w/ severe threatening systemic disease
P5 - moribund pt (won’t live w/o surgery)
P6 - brain dead pt undergoing organ harvesting
—P1-P3 outpatient; P4-P6 inpatient

24
Q

informed consent

A

legal doc that gives pts permission

includes full disclosure, risks/benefits, alternative treatments, consequences of refusal

25
Q

what does the nurse do to prepare pt for OR?

A

ID pt, gown, no hair clips or makeup, secure valuables, vitals, med sheet, start IV

26
Q

factors that increase surgical risk?

A

age, obesity, nutrition, dehydration, nicotine use, meds

27
Q

role of surgical assistant

A

expose site, retract tissue, suction, ligate bleeding vessels, suture

28
Q

role of anesthesiologist/CRNA

A

consistent eval of meds and pt condition, supervise recovery in PACU

29
Q

role of circulating nurse

A

oversee environment, move pt, skin prep, watch for sterile breaks, instrument and sponge counts, docs, meds

30
Q

role of scrub nurse

A

mechanical aspects, hand instruments, suture

31
Q

what do you do just before starting OR procedures?

A

take a surgical timeout: ask pt name, DOB, procedure location; verify info with ID bracelet and chart

32
Q

surgical scrub

A

5-10 minutes, circular motion, inner to outer, removes micro-organisms, decreases infection

33
Q

general anesthesia

A

IV, inhalation

induction, maintenance, emergence

34
Q

regional anesthesia

A

spinal, epidural, nerve block

35
Q

local anesthesia

A

for specific area only

36
Q

monitored anesthesia care (MAC)

A

constant; formally known as conscious sedation

37
Q

postoperative care

A

PACU/recovery room (monitoring)
ACP gives verbal report to PACU nurse
care goals (managing function and surgical site, pain and temp control)

38
Q

postoperative assessment priorities

A

airway, breathing, circulation, neurologic, urinary, surgical site, pain

39
Q

what type of problem is #1 after surgery?

A

oxygenation

40
Q

in order to be discharged, what must the pt do?

A

be mobile, be alert, have pain controlled, have a driver and someone at home to help, have teaching completed

41
Q

how are discharge instructions given?

A

verbally AND in writing

MedSurg 1 (3 decks)

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