| (classification of surgical procedures)
elective | - performed on basis of pts. choice |
| (classification of surgical procedures)
urgent | - necessary for pt health |
| (classification of surgical procedures)
emergency/emergent | - must be done immediately to save life or body part |
| (surgical terminology)
anastomoses | - joining of two ducts/blood vessels to allow flow from one to another
- to bypass an area |
| (surgical terminology)
-ectomy | - surgical removal of |
| (surgical terminology)
Lysis | - destruction or dissolution |
| (surgical terminology)
-orrhaphy | - surgical repair of |
| (surgical terminology)
-oscopy | - direct visualization with a scope |
| (surgical terminology)
-ostomy | - opening made to allow the passage of drainage |
| (surgical terminology)
-otomy | opening into |
| (surgical terminology)
-pexy | - fixation of |
| (surgical terminology)
-plasty | - plastic surgery |
| (common surgical settings)
1. inpatient:
2. one-day (same day surgery):
3. outpatient:
4. short-stay surgical center:
5. short stay unit:
6. mobile surgery unit | 1. - pt hospitalized for surgery
2. - pt admitted the day surgery is scheduled then discharged the same day
3. - pt (not hospitalized) admitted either to short stay or unit or directly to surgical site
4. independently owned agency, surgery performed with overnight hospitalization not required
5. department where pt stay does not exceed 24 hours
6. a unit that moves place to place; moves to pt instead of pt going to unit |
| the perioperative period encompasses the __________ phase (before surgery), __________ phase (during surgery), and _________ phase (after surgery) | preoperative
intraoperative
postoperative |
| perioperative nursing stresses the importance of providing continuity of care for the surgical patient using what? | the nursing process |
| perioperative nurses assess a patients health status preoperatively, identify specific health needs, teach and _______, attend to the patients needs in the ___, then monitor the patients ________ | counsel, OR, recovery |
| carbohydrates and fats are the primary energy what? | producers |
| what is essential to build and repair body tissue? | protein |
| under stress, the body’s need for energy and repair increases, nutritional needs are affected by a patients ____ and physical ___________; patients who maintain a sound nutritional diet tend to recover more _____ | age, requirements, quickly |
| preoperative fear has been linked to __________ and __________ behavior | intraoperative and postoperative |
| polypharmacy | - concurrent use of multiple medications |
| the use of multiple medications can lead to what? and interactions with other medications in the perioperative setting | adverse drug reactions |
| a patient with a history of allergic responsiveness is more likely to have a hypo sensitivity reaction to what? | anesthesia agents |
| (herb)
garlic
(preoperative considerations)
? | - potential for bleeding |
| (herb)
ginkgo biloba
(preoperative considerations)
? | - potential for bleeding |
| (herb)
St. John’s Wart
(preoperative considerations)
? | shouldn’t be used with psychoactive drugs, discontinue before surgery because possible drug interactions |
| lab tests received before surgery include | UA, CBC, and blood chemistry profile |
| one essential electrolyte assessed is what? because abnormal levels can lead to what? | potassium, dysrhythmias |
| slow venus blood flow can lead to the development of a what? | thrombus |
| if a thrombus is dislodged it can travel as what? | an embolus |
| (surgeries for which coughing is contraindicated)
1. intracranial
2. eye
3. ear
4. nose
5. throat
6. spinal | increases ICP, mouth must be kept open if pt must cough |
| anticoagulants
antihypertensives
anti seizure
corticosteroids
diuretics
herbal therapies
insulin
NSAIDS | medications with special implications for the surgical patient |
| types of regional anesthesia | epidural, nerve block, spinal |
