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41 Cards in this Set

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Surgery
a branch of mediccine concerned with diseases and trauma requiring operative surgeries
Classifications of surgery
elective, urgent and emergency
Elective Surgery
Patient chooses to have surgery and it is not life threatening
Urgent Surgery
Required surgery, it is required in order to keep other health problems from occurring
Emergency Surgery
Emergency Surgery, performed immediately in order to save an individuals life
Purpose of surgeries
Ablative, diagnostic, palliative, reconstructive, transplant, and constructive
Ablative
an amputation or incision of any part of body or a removal of growth or harnful substance
diagnostic
exploration, allows physician to confirm a diagnosis. Involves a removal of tissue for further diagnostic testing
palliative,
Relieves or reduces intensity of disease symptoms, will not produse a cure (colostomy, debriedment of necrotic tissue
reconstructive,
Restores function or appearance to traumatized of malfunctioning tissue, (internal fixation of fractures, scar revision, breast reconstruction
Transplant
Replaces malfunctioning organs
Constructive
Restores a loss of function lost or reduced as a result of congenital anomalies ( repairs cleft palate, closure of atrial septal defect in heart
Perioperative
Role of nurse during pre -operative, intraoperative and postop phases of patients surgical experiance
pre -operative
before surgery
intraoperative
during sugery
post-operative
following surgery
Peri-operative nurses
assess patients health status pre- op
ID patiets needs
teach and counsel
attend to patients need isn operating room and follow patients recovery
ANASTOMOSIS
Surgical joining of two ducts of blood vessels to allow flow from one to anther
-Ectomy
Surgical removal of (e.g: gallbladder, cholecystectomy)
Lysis
destruction or dissaloution of
orrhaphy
Surgical repair of ( herniaorrhaphy repair of hernia)
ostomy
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
oscopy
direct visualization thru a scope E.g; a cuyst oscopy is a direct visualization of the urinary tract by means of a cystoscope
otomy
Opening into/
pexy
fixation or suspension
plasty
plastic surgery , reshaping or reconstructing
Incentive Spirometry
Procedure in which a device is used at bedside at regular intervals to encourage patient to breathe deeply
Thrombus
An accumulation of platelets , fibrin, clottiong factors and cellular elements of the blood attatched to the anterior wall of a vessel
Embolus
when a thrombus is dislodged and travels to lungs, heart and brain
INFARCT
Localized area of necrosis
Anti embolism stockings
Provide support and aid to prevent venous thrombus in lower extremeties
SCD"S
Sequential Compression devices
TED Stockings
thromboembolic disease stockings
thromboembolic disease stockings
Incisions
cuts produced surgically by a sharp instrument to create an opening in an organ or space in the body
Anesthesia
The absence of feelings (pain) or without
Ansthesia means awareness of feeling
General anesthesia
* major procedures requiring extensive tissue manipulation
General anesthesia
results
in an immobile quiet patient who does not recall the surgical procedure
General anesthesia
Stage one

Complete when patient loses consciousness
Stage I
Begins while patient is awake and as the administration of anesthetic agent begins
Stage II
excitement and delirium phase

involuntary motor activity
Begins when patient loses concsiousness and ends with onset of regular breathing
Stage III

Operative or surgical pahase
Begins with the nset of regular breathing and ends with the cessation of respirations
Stage IV

Danger
Begins with cessation of respirations and it must be avoided or it will necessitate the innitiation of CPR and may lead to death
More useful designation of anesthetic phases include three phases
Induction
maintenance and emergence