Test 3 section 1 Flashcards
period of time from decision for surgery until patient is transferred into operating room
Preoperative phase
period of time from when patient is transferred into operating room to admission to post-anesthesia care unit
intraoperative phase
period of time from when patient is admitted to PACU to follow-up evaluation in clinical setting or at home
Postoperative phase
surgical classification
Diagnostic Curative Palliative Preventative Cosmetic Exploratory
ambulatory surgery
outpatient surgery
Hgb level
male 14-18
female 12-16
Hct level
male 42%-52%
female 37%-47%
K level
3.5-5
Na level
136-145
Cl level
95-105
BUN level
10-20
creatinine level
0.5-1.2
glucose level
70-105
legal document
Outlines need for surgery, the steps, risks, expected results, and alternatives
informed consent
identify and assess patients here, IV placement, IV antibiotic prophylaxis, ECG monitor and pulse oximeter
holding area
assists surgeon using strict surgical asepsis; wears surgical attire
scrub nurse
coordinator; assists scrub nurse and surgeon; not required to wear surgical attire
circulating nurse
IV/inhalation agents produce unconsciousness; ET placement
General anesthesia
loss of sensation to area of body
No loss of consciousness, but may be sedated
Regional anesthesia
loss of sensation to a specific site
local anesthesia
decreased LOC
conscious sedation
side effects of anesthetic agents
CV depression or irritability
Respiratory depression
Liver and kidney damage
caused by depressed respirations by anesthetics or analgesics; increase retention of mucus and impaired ventilation because of pain or poor positioning
hypoxemia
caused by inadequate lung expansion prevented by anesthesia, analgesia, immobilization, painful deep breathing
atelectasis
caused by poor lung expansion with retained sec reactions; common bacterium is Diplococcus pneumoniae
Pneumonia
caused by accumulation of fluid in the alveoli
pulmonary edema
caused by venous stasis caused by immobilization; vessel trauma; increased blood coagulability
pulmonary embolism
loss of large amount of blood externally or internally in a short period of time; S/S hypotension, weak and rapid pulse, cool, and clammy skin, rapid breathing
hemorrhage
inadequate perfusion of tissues and cells from loss of circulatory fluid volume
Hypovolemic shock
inflammation of a vein in the legs; S/S swelling, aching or cramping pain, cordlike veins, positive Homans sign
thrombophlebitis
clot which may be occlusive
thrombus
dislodged clot which lodges in a vessel of lungs, heart, or brain
embolus
retention of air in the intestines; S/S increased abdominal girth, fullness, gas pains
abdominal distension
involuntary accumulation of urine in the bladder as a result of loss muscle tone; S/S inability to void, restlessness, bladder distention
urinary retention
separation of wound edges at suture lines; S/S appearance of underlying tissues, increased drainage
wound dehiscence
protrusion of internal organs and tissues through incision
wound evisceration
passage of at least 3 loose or liquid stools per day
Diarrhea
intestinal rumbling
borborygmus
ineffective straining
tenesmus
Diarrhea complications
Fluid and electrolyte imbalances
Dehydration
Cardiac dysrhythmias
absent or infrequent stools and hard, dry stools that are difficult to defecate
constipation
a subjective problem in which the persons elimination pattern is not consistent with what he or she believes is normal
perceived constipation
X-ray to show the rectum and canal canal as they change during defecation
defecography
severe constipation no bass or stool
oblistipation
the inability of the digestive system to absorb one or more of the major vitamins, minerals, and nutrients
malabsorption
sac-like herniations of the mining of the bowel that extend through a defect in the muscle layer
Diverticulum
multiple diverticula without inflammation
diverticulosis
infection and inflammation of diverticula may result in perforation
diverticulitis
is an autoimmune disease characterized by chronic inflammation of the GI tract
inflammatory bowel disease IBD
inflammation of peritoneum
peritonitis
Perianal pus result of obstruction of anal gland and infection caused by anal fissure or trauma drainage of abscess, packing wound care and antibiotics, hot compresses
anorectal abscess
abnormal tunneling leading from anus to rectum to vagina or skin can be complication of chrons disease
anal fistula
small tract under skin between buttocks in sacrococcygeal area a best of hair incision and drainage
Pilonidal sinus or cyst
inflammation of the appendix
appendicitis
surgical procedure that allows intestinal contents to pass from the bowel through an opening in the skin on the abdomen
ostomy
an opening is created to drain urine or feces
a stoma
the whole large intestine is removed so stool will be frequent and liquify and enzymatic
ileum Ileostomy
frequent and liquid stools
ascending colostomy
more solid formed stools
transverse colostomy
near normal stool
sigmoid colostomy