Turner Flashcards
“-ostomy”
artificial opening in organ created during an operation = stoma (colostomy, gastrostomy)
“-otomy”
cutting open
Perineum
area between anus and scrotum or vulva
Peronial
relating to or situated in outer side of calf
“-pexy”
fixation (eg. orchidopexy)
“-plasty”
molding, grafting, or formation of specified part of body
peritoneum
serous membrane lining cavity of the abdomen and covering abdominal organs
Resection
surgical removal of all or part of organ, tissue, or structure
laparoscopy
surgery that uses a thin, lighted tube put through an incision in belly to look at the abdominal organs or female pelvic organs
When positioning patient what are important structures to look at to ensure less likelihood of nerve damage?
look at shoulder, elbow, knee
avoid prolonged pressure or stretching of peripheral nerves
How to prevent brachial plexus injury during surgery?
Do not raise arm above 90
Keep head and neck in alignment
Avoid shoulder restraints
How to prevent ulnar and radial nerve injury during surgery?
Adequate padding
Keep in anatomical position
How to prevent peroneal and tibial nerve injury during surgery?
Pillow under knee
Pad lateral knee
Areas of highest risk for soft tissue damage during long surgery
occiput, sacrum, and heel
Trendelenburg surgical position
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
Lithotomy surgical position
Patient on back with the hips and knees flexed and the thighs apart
Risk of Trendelenburg and reverse Trendelenburg positions
Trendelenburg: Lung volume decreased, organs press against diaphragm compressing heart
Reverse Trendelenburg: diminished venous return, pressure on feet and heels
What is sitting position in surgery called?
Fowler
Areas that need to be padded in axial position?
greater trochanter
pad lateral and medial malleolus
scapula needs axillary roll
When making operative orders what should be included (according to Turner lecture)?
Pain
Drain
Antibiotics
Prophylaxis - lungs (atelectasis), stomach (ulcer), calf (DVT)
Meds for ulcer prophylaxis
ranitidine, cimetidine
Meds for DVT prophylaxis
SQ heparin, LMWH
What should be prescribed prn with narcotics?
stool softeners (docusate sodium)
______ for fluid loss and 3rd spacing, typically 24 hrs post-op.
IV fluids - LR or NS