Turner Flashcards

1
Q

“-ostomy”

A

artificial opening in organ created during an operation = stoma (colostomy, gastrostomy)

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2
Q

“-otomy”

A

cutting open

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3
Q

Perineum

A

area between anus and scrotum or vulva

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4
Q

Peronial

A

relating to or situated in outer side of calf

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5
Q

“-pexy”

A

fixation (eg. orchidopexy)

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6
Q

“-plasty”

A

molding, grafting, or formation of specified part of body

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7
Q

peritoneum

A

serous membrane lining cavity of the abdomen and covering abdominal organs

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8
Q

Resection

A

surgical removal of all or part of organ, tissue, or structure

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9
Q

laparoscopy

A

surgery that uses a thin, lighted tube put through an incision in belly to look at the abdominal organs or female pelvic organs

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10
Q

When positioning patient what are important structures to look at to ensure less likelihood of nerve damage?

A

look at shoulder, elbow, knee

avoid prolonged pressure or stretching of peripheral nerves

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11
Q

How to prevent brachial plexus injury during surgery?

A

Do not raise arm above 90
Keep head and neck in alignment
Avoid shoulder restraints

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12
Q

How to prevent ulnar and radial nerve injury during surgery?

A

Adequate padding

Keep in anatomical position

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13
Q

How to prevent peroneal and tibial nerve injury during surgery?

A

Pillow under knee

Pad lateral knee

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14
Q

Areas of highest risk for soft tissue damage during long surgery

A

occiput, sacrum, and heel

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15
Q

Trendelenburg surgical position

A

body is laid flat on the back (supine position) with the feet higher than the head by 15-30 deg

used in abdominal and gynecology surgeries

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16
Q

Lithotomy surgical position

A

Patient on back with the hips and knees flexed and the thighs apart

17
Q

Risk of Trendelenburg and reverse Trendelenburg positions

A

Trendelenburg: Lung volume decreased, organs press against diaphragm compressing heart

Reverse Trendelenburg: diminished venous return, pressure on feet and heels

18
Q

What is sitting position in surgery called?

A

Fowler

19
Q

Areas that need to be padded in axial position?

A

greater trochanter
pad lateral and medial malleolus
scapula needs axillary roll

20
Q

When making operative orders what should be included (according to Turner lecture)?

A

Pain
Drain
Antibiotics
Prophylaxis - lungs (atelectasis), stomach (ulcer), calf (DVT)

21
Q

Meds for ulcer prophylaxis

A

ranitidine, cimetidine

22
Q

Meds for DVT prophylaxis

A

SQ heparin, LMWH

23
Q

What should be prescribed prn with narcotics?

A

stool softeners (docusate sodium)

24
Q

______ for fluid loss and 3rd spacing, typically 24 hrs post-op.

A

IV fluids - LR or NS