Chapter 2 Care Of Surgical Patient

Front 1

Surgery

Back 1

a branch of mediccine concerned with diseases and trauma requiring operative surgeries

Front 2

Classifications of surgery

Back 2

elective, urgent and emergency

Front 3

Elective Surgery

Back 3

Patient chooses to have surgery and it is not life threatening

Front 4

Urgent Surgery

Back 4

Required surgery, it is required in order to keep other health problems from occurring

Front 5

Emergency Surgery

Back 5

Emergency Surgery, performed immediately in order to save an individuals life

Front 6

Purpose of surgeries

Back 6

Ablative, diagnostic, palliative, reconstructive, transplant, and constructive

Front 7

Ablative

Back 7

an amputation or incision of any part of body or a removal of growth or harnful substance

Front 8

diagnostic

Back 8

exploration, allows physician to confirm a diagnosis. Involves a removal of tissue for further diagnostic testing

Front 9

palliative,

Back 9

Relieves or reduces intensity of disease symptoms, will not produse a cure (colostomy, debriedment of necrotic tissue

Front 10

reconstructive,

Back 10

Restores function or appearance to traumatized of malfunctioning tissue, (internal fixation of fractures, scar revision, breast reconstruction

Front 11

Transplant

Back 11

Replaces malfunctioning organs

Front 12

Constructive

Back 12

Restores a loss of function lost or reduced as a result of congenital anomalies ( repairs cleft palate, closure of atrial septal defect in heart

Front 13

Perioperative

Back 13

Role of nurse during pre -operative, intraoperative and postop phases of patients surgical experiance

Front 14

pre -operative

Back 14

before surgery

Front 15

intraoperative

Back 15

during sugery

Front 16

post-operative

Back 16

following surgery

Front 17

Peri-operative nurses

Back 17

assess patients health status pre- op
ID patiets needs
teach and counsel
attend to patients need isn operating room and follow patients recovery

Front 18

ANASTOMOSIS

Back 18

Surgical joining of two ducts of blood vessels to allow flow from one to anther

Front 19

-Ectomy

Back 19

Surgical removal of (e.g: gallbladder, cholecystectomy)

Front 20

Lysis

Back 20

destruction or dissaloution of

Front 21

orrhaphy

Back 21

Surgical repair of ( herniaorrhaphy repair of hernia)

Front 22

ostomy

Back 22

Opening that is made to allow th epassage of drainage (ileostomy is a formation of an opening of the ileum onto surface of abdomen for the passage of feces

Front 23

oscopy

Back 23

direct visualization thru a scope E.g; a cuyst oscopy is a direct visualization of the urinary tract by means of a cystoscope

Front 24

otomy

Back 24

Opening into/

Front 25

pexy

Back 25

fixation or suspension

Front 26

plasty

Back 26

plastic surgery , reshaping or reconstructing

Front 27

Incentive Spirometry

Back 27

Procedure in which a device is used at bedside at regular intervals to encourage patient to breathe deeply

Front 28

Thrombus

Back 28

An accumulation of platelets , fibrin, clottiong factors and cellular elements of the blood attatched to the anterior wall of a vessel

Front 29

Embolus

Back 29

when a thrombus is dislodged and travels to lungs, heart and brain

Front 30

INFARCT

Back 30

Localized area of necrosis

Front 31

Anti embolism stockings

Back 31

Provide support and aid to prevent venous thrombus in lower extremeties

Front 32

SCD"S

Back 32

Sequential Compression devices

Front 33

TED Stockings
thromboembolic disease stockings

Back 33

thromboembolic disease stockings

Front 34

Incisions

Back 34

cuts produced surgically by a sharp instrument to create an opening in an organ or space in the body

Front 35

Anesthesia

Back 35

The absence of feelings (pain) or without
Ansthesia means awareness of feeling

Front 36

General anesthesia
* major procedures requiring extensive tissue manipulation

Back 36

General anesthesia
results
in an immobile quiet patient who does not recall the surgical procedure

Front 37

General anesthesia
Stage one

Complete when patient loses consciousness

Back 37

Stage I
Begins while patient is awake and as the administration of anesthetic agent begins

Front 38

Stage II
excitement and delirium phase

involuntary motor activity

Back 38

Begins when patient loses concsiousness and ends with onset of regular breathing

Front 39

Stage III

Operative or surgical pahase

Back 39

Begins with the nset of regular breathing and ends with the cessation of respirations

Front 40

Stage IV

Danger

Back 40

Begins with cessation of respirations and it must be avoided or it will necessitate the innitiation of CPR and may lead to death

Front 41

More useful designation of anesthetic phases include three phases

Back 41

Induction
maintenance and emergence