week 13 chapter 46/19 Flashcards
preoperative for food and fluids
preoperative clients are NPO for several hours before
at least 6 to 8 hours
what is done after surgery
deep-breathing, coughing, leg exercises
position restrictions
the client is informed about a position that is required to be maintained after surgery
post-op
day of surgery
post-op day one
day after surgery
special tests of pre operative period
x-ray, blood work, ECG, blood type, cross match
general anesthesia (ga)
produces unconsciousness and the loss of feeling of sensation
regional anesthesia
produce loss of sensation of feeling in a large area of the body
local anesthesia
produces loss of sensation in a small area
two most important for post-op
pain and infection
how many clients are at risk of infection
70%
surgical asepsiS
practices that keep equipment and supplies free from all microbes
sterile fleid
a work area that is free from pathogens and non-pathogens, including spores
is clean the same as sterile
no
reasons for surgery
removal of disease organ or body part
removal of tumor
repair of organ and tissue
pre-op
before surgery
ambulatory surgery
doesn’t require overnight hospital stay
elective surgery
is scheduled but not urgent
urgent surgery
must be done soon to prevent further damage, disability or disease
emergency surgery
the surgery that must be done immediately to save a clients life or prevent disability
common fear of surgery
death and pain
key things to observe
pain, infection, blood clot, constipation, immobility, pressure sores, dehiscence, respiratory infection
you stimulate circulation why
go prevent formation of blood clot and farther embolus
post-operative period
early ambulating
wound healing
nutrition and fluids
elimination
comfort and rest
personal hygiene
Thrombus
Blood clot
Nasal speculum is used to examine
The inside of the nose
A tuning fork is used
Test hearing
Responsibilities in supporting clients who are having day surgery
Accompanying the client to the day surgery room
Ensuring the client has voided
Familiarizing the client with where the bathroom is located
What can be prevented with early ambulation?
Thrombi
Atelectasis
Ophthalmoscope
A lighted instrument used to examine the internal structure of the eye
Otoscope
Lighted instrument used to examine the external ear and the eardrum
Percussion hammer
Used to tap body part to test reflexes
Vaginal speculum
Used to open the vagina so it and the cervix can be examined
Nasal speculum
Used to examine the inside of the nose
Tuning fork
An instrument used to test hearing
Laryngeal mirror
Used to examine the mouth, teeth, and throat
Curative
Surgery aimed at repairing an injured or diseased body part in order to sure the disease
Palliative
Surgery performed to enhance the quality of the dying client’s life, not to cure the client
Embolus
Is an air bubble, blood clots or fat clot that travels through the vascular system until it lodges in a distant vessel
