Preop, Intra, Postop Flashcards
- begins when the decision to proceed with
surgical intervention is made and ends with
the transfer of the patient onto the operating
room (OR) bed
Preoperative phase
- begins when the patient is transferred onto the
OR bed and ends with admission to the PACU
(post anesthesia care unit)
Intraoperative phase:
- begins with the admission of the patient to the
PACU and ends with a follow-up evaluation in
the clinical setting or home
- Postoperative phase:
- Removes a diseased body part -
cholecystectomy
Ablative
- Restores function or appearance that has been
lost or reduced – breast implant
Constructive
- Replaces malfunctioning structures
Transplant
DEGREE OF URGENCY
- Performed immediately to preserve function
or the life of the client.
Emergency
DEGREE OF RISK
- It involves little risk
- “day surgery”. – biopsy, tonsillectomy
Minor
DEGREE OF URGENCY
- Not imminently life threatening but may threaten life – cholecystectomy
Elective
DEGREE OF RISK
- Involves a high degree of risk – organ
transplant, open heart surgery
Major
Terminology
- Cutting into an organ or tissue - laparotomy
Otomy
Terminology
- Excision (cut out) - Appendectomy
Ectomy
Terminology
- small incisions through which an endoscope is
inserted - laparoscopy
Oscopy
Terminology
- formation of a permanent or semi-permanent
opening called a stoma in the body - ileostomy
Ostomy
Terminology
- Reconstruction, plastic or cosmetic surgery-
rhinoplasty
Oplasty
Terminology
- Reparation of damaged or congenital abnormal
structure - Herniorraphy
Rraphy
if the pt. is assigned for surgery and reports use of clopidogrel and aspirin, what is the best management?
advise to stop taking those medicine for at least 7-10 days prior op
The most frequent early sign for a
patient at risk for
malignant hyperthermia
subsequent to general
anesthesia
tachycardia
types of anesthesia
inhalation, iv
general
types of anesthesia
sa iisang location lang
local
types of anesthesia
epidural, spinal, and local conduction blocks
regional
Through which route
are general anesthetics
primarily eliminated?
Lungs
treatment for Malignant hyperthermia:
dantrolene
where does spinal anesthesia injected
subarachnoid space between l4 and l5
The primary
nursing goal in the
immediate postoperative
period is maintenance of
pulmonary function and
prevention of ___
and ___
hypoxemia, hypercapnia
Indicators of Hypovolemic
Shock/Hemorrhage
- Pallor
- Cool, moist skin
- Rapid respirations
- Cyanosis
- Rapid, weak, thread pulse
*Decreasing pulse pressure - Low blood pressure
- Concentrated urine
Indicators of Hypovolemic
Shock/Hemorrhage
- Pallor
- Cool, moist skin
- Rapid respirations
- Cyanosis
- Rapid, weak, thread pulse
*Decreasing pulse pressure - Low blood pressure
- Concentrated urine
Note: Do Not
Remove Oral
Airway Until
Evidence of Gag
Reflex Returns
Note: Do Not
Remove Oral
Airway Until
Evidence of Gag
Reflex Returns
The blood clot forms
during the inflammatory phase of
wound healing.
Granulation tissue forms during
the proliferative phase.
Fibroblasts leave the wound and
tensile strength increases during
the maturation phase of wound
healing
The blood clot forms
during the inflammatory phase of
wound healing.
Granulation tissue forms during
the proliferative phase.
Fibroblasts leave the wound and
tensile strength increases during
the maturation phase of wound
healing
