Week 5 Procedural and Peri-operative Care Flashcards
From when the decision to have surgery is made
Peri-op
From the time of anaesthetic to completion of the procedure
Intra-op
From the time of handover from OT staff to recovery staff to ward staff
Post-op
Surgery performed immediately to save a life or function of a person
Emergency surgery
Surgical intervention that is not imminently life threatening
Elective surgery
Confirms or establishes a diagnosis
Diagnostic surgery
Relieves or reduces pain or symptoms
Palliative surgery
Removal of a diseased body part
Ablative surgery
Restores function or appearance
Constructive surgery
Replaces malfunctioning structures
Transplant surgery
Form signed by the patient/carer that protects the patient from incorrect or unwanted procedures
Consent
NBM - nil by mouth
Surgical removal of all or part of a specified organ
Ectomy
Cutting into a part of the body
Otomy
Repair,restoration of part of a body
Plasty
Suture of a body part
Rrhapy
Discharge
Rrhea
Excessive flow
Rrhage
Observation or a visual examination
Scopy
Increase in pathological condition
Osis
Within or containing
Endo
About or around
Peri
Above or over
Supra
Backward or located behind
Retro
Inflammation
Itis
Who is responsible to mark the intended surgical site?
The Surgeon performing the procedure
‘Otomy’ is a suffix that refers to
Cutting or making an incision into part of the body
Prophylactic antibiotics refers to antibiotics that are given:
To prevent an infection
An important ALERT to document on the peri-operative patient record is
If they have had cytotoxic medications in the last 7 days
One of the responsibilities of the Instrument nurse in the operating theatre team is to:
Prepare instruments and equipment needed for the procedure
When preparing a person who wears contact lenses for a surgical procedure where they could or will have a general anaesthetic, their contact lenses:
Must be removed
The nursing role in the operating theatre team who assists in the monitoring of the patient during surgery is the role of the ?
Anaesthetic nurse
Under general anaesthetic or sedation, patients have a reduced level of consciousness and therefore they are at risk of pulmonary aspiration. To minimise this risk, the pre-operative preparation of a person usually includes:
Nil by mouth
The nursing role in the operating theatre team who determines if the patient is ready to return to the ward is?
PACU nurse
When preparing a person who has dentures for a surgical procedure where they could or will, have a general anaesthetic it is generally preferred to:
Leave them in the patients mouth
How does age affect risk of post-operative complications?
How does cardiovascular disease affect risk of post-operative complications?
How does pulmonary disorders affect risk of post-operative complications?
How you would help a person overcome fear of the unknown experienced in the pre-operative phase?
How you would help a person overcome fear of post-operative pain experienced in the pre-operative phase?
How you would help a person overcome fear of changes in self image experienced in the pre-operative phase?
Why BMI may be indicated during the pre-operative period
Obesity is correlated with difficult intubation so further analysis is required prior to surgery.
Why urinalysis may be indicated during the pre-operative period
To detect urinary tract infections, renal diseases and poorly controlled diabetes.
Why chest x-ray may be indicated during the pre-operative period
To assess known chronic medical conditions or to detect previously undiagnosed diseases.
Eg COPD, TB, heart failure
Why ECG may be indicated during the pre-operative period
Performed in individuals with a history of cardiovascular disease or for those undergoing major surgery.
Can indicate underlying cardiac pathology and provide a baseline for comparison if there are post-operative concerns for cardiac ischaemia.
Why complete blood count may be indicated during the pre-operative period
To detect anaemia, bleeding disorders, inherited and acquired haematological disorders, and the effects of other systemic diseases
Why blood group and cross matching may be indicated during the pre-operative period
Ensures blood availability for the date/time of surgery and reduces the risk of a canceled procedure.
Why serum urea and electrolytes may be indicated during the pre-operative period
Essential information on renal function, principally in excretion and homoeostasis.
Creatinine levels are a major factor in determining the estimated glomerular filtration rate, which is the marker of kidney health.
Why BGL may be indicated during the pre-operative period
Hyperglycemia in the peri-operative period is an independent marker of poor surgical outcomes of poor healing and increased infection rates
Why pregnancy test may be indicated during the pre-operative period
To guard against any potential risks to the developing fetus
Allows patient to make informed decision as to whether to proceed or not
Clinical signs and symptoms:
- Coughing up yellow or green phlegm (thick mucus)
- Coughing up blood
- Breathlessness or rapid and shallow breathing
- Wheezing
- Fever
Chest infection
Clinical signs and symptoms:
- Pain in calf, foot, or leg
- Swelling of the leg or along a vein in the leg
DVT (Deep Vein Thrombosis)
