Preop, Intra, Postop Flashcards

1
Q
  • 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
A

Preoperative phase

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2
Q
  • begins when the patient is transferred onto the
    OR bed and ends with admission to the PACU
    (post anesthesia care unit)
A

Intraoperative phase:

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3
Q
  • begins with the admission of the patient to the
    PACU and ends with a follow-up evaluation in
    the clinical setting or home
A
  • Postoperative phase:
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4
Q
  • Removes a diseased body part -
    cholecystectomy
A

Ablative

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5
Q
  • Restores function or appearance that has been
    lost or reduced – breast implant
A

Constructive

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5
Q
  • Replaces malfunctioning structures
A

Transplant

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6
Q

DEGREE OF URGENCY

  • Performed immediately to preserve function
    or the life of the client.
A

Emergency

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7
Q

DEGREE OF RISK

  • It involves little risk
  • “day surgery”. – biopsy, tonsillectomy
A

Minor

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7
Q

DEGREE OF URGENCY

  • Not imminently life threatening but may threaten life – cholecystectomy
A

Elective

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8
Q

DEGREE OF RISK

  • Involves a high degree of risk – organ
    transplant, open heart surgery
A

Major

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9
Q

Terminology

  • Cutting into an organ or tissue - laparotomy
A

Otomy

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9
Q

Terminology

  • Excision (cut out) - Appendectomy
A

Ectomy

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10
Q

Terminology

  • small incisions through which an endoscope is
    inserted - laparoscopy
A

Oscopy

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11
Q

Terminology

  • formation of a permanent or semi-permanent
    opening called a stoma in the body - ileostomy
A

Ostomy

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12
Q

Terminology

  • Reconstruction, plastic or cosmetic surgery-
    rhinoplasty
A

Oplasty

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12
Q

Terminology

  • Reparation of damaged or congenital abnormal
    structure - Herniorraphy
13
Q

if the pt. is assigned for surgery and reports use of clopidogrel and aspirin, what is the best management?

A

advise to stop taking those medicine for at least 7-10 days prior op

14
Q

The most frequent early sign for a
patient at risk for
malignant hyperthermia
subsequent to general
anesthesia

A

tachycardia

15
Q

types of anesthesia

inhalation, iv

16
Q

types of anesthesia

sa iisang location lang

16
Q

types of anesthesia

epidural, spinal, and local conduction blocks

17
Q

Through which route
are general anesthetics
primarily eliminated?

18
Q

treatment for Malignant hyperthermia:

A

dantrolene

18
Q

where does spinal anesthesia injected

A

subarachnoid space between l4 and l5

19
The primary nursing goal in the immediate postoperative period is maintenance of pulmonary function and prevention of ___ and ___
hypoxemia, hypercapnia
19
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
19
Note: Do Not Remove Oral Airway Until Evidence of Gag Reflex Returns
Note: Do Not Remove Oral Airway Until Evidence of Gag Reflex Returns
20
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