Surgery Flashcards
premed
medications prior to surgery
elective
operations planned in advance
pre operative assessment
Tests done prior to a operation
what might be done in pre operative assessment
blood
ecg
swab
peri operative period
3 phases of surgery
before, during after
how long does post op phase last
30 days
what is anastomosis
connection made between 2 ends of the same organ during surgery
what is wound dehiscence
breaking open of a wound or incision
what are adhesions
fibrous band which form between tissues an organs
what is ectomoy
removal
what is otomy
opening up
what is stomy
artificial opening or hole
what is oscopic
scope
what is plasty
re shape
what is the role of the pharmacist in preop
drug history
prescribing regular meds
giving advice on appropriate medication management during peri op
patient education
smoking cessation
preparing for discharge
what are the 7 major areas of surgical pharmacy
pain
nausea vomitting
nil by mouth period
Venous thromboembolism
fluid managment
anticoagulation
antibiotic prophylaxis
What is PCA
PCA = patient controlled analgesia
a pump with a button the patient can press
what is important before PCA is given
Education
what are the advantages of PCA
Patient in control
Cant OD due to lockouts
Number of requests for drugs monitored
Fast acting
Reduces patient anxiety
Suitable if patient is nil by mouth
what are the disadvantages of PCA
cant be used in all cases
can contribute to renal impairment
side effects are potentially dangerous
cant be used with other opioids
patient could wake up in pain
In the instance of pain management in a patient with substance abuse issues what goals do we need to hit
prevent withdrawal
provide additional analgesia
guard against respiratory depression
