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39 Cards in this Set
- Front
- Back
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elective surgery
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Not necessary to preserve life & performed when patient chooses. (knee replacement)
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urgent surgery
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Required to keep additional health problems from occurring. (ex. gallstones)
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emergency surgery
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Performed immediately to save an individual's life or preserve function of a body part. (appy)
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inpatient surgery
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Patient hospitalized for surgery.
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one-day (same-day surgery)
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Patient admitted the day surgery is scheduled & dismissed the same day.
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outpatient surgery
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Patient, not hospitalized, admitted either to a short-stay unit or directly to the surgical suite (sometimes referred to ambulatory surgery)
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short-stay surgical center ("surgicenter)
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Independently owned agency; surgery performed when overnight hospitalization is not required; also called ambulatory surgical center or one-day surgery.
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short-stay unit
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Department or floor where a patient’s stay does not exceed 24 hours; sometimes referred to as outpatient/observation unit.
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mobile surgery units
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Units that move form place to place; goes to the patient instead of the patient traveling to the unit.
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Factors that effect surgery tolerance
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Age, physical condition & nutritional factors.
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diagnostic
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to confirm a diagnosis (ex. biopsy)
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ablation
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removal of diseased body part (ex. appy, mastomacy)
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palliative
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for relief or reduction of disease symptoms; not curative (ex. colostomy)
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reconstructive
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to restore function/appearance of traumatized or malfunctioning tissues
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transplant
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replacement of a malfunctioning organ
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constructive
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restoration of function lost due to congenital abnormalities (ex. cleft palate repair)
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cosmetic
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alternation of personal appearance (rhinoplasty)
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Why is coughing contraindicated after eye or brain surgery?
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increases intracranial pressure
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What type of surgery removes growth, body part of harmful substance?
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Ablative
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What is an indicator that a patient is experiencing pain?
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increased pulse
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What is the best method for postoperative coughing?
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3 deep breaths & coughing from chest
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How do we help patients increase peristalsis?
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ambulation
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ABCs of immediate recovery after surgery
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Airway, breathing, consciousness, circulation, system review
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Type of anesthesia that decreases consciousness
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conscious sedation
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What prevents a patient from signing an informed consent?
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Decreased consciousness, sedation/narc given, incompetent
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What indicates a post op hemorrhage?
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Increased HR, thready pulse, restlessness, decreased BP, cool/clammy skin, decreased UO
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When should pre-op teaching be done?
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1-2 days before surgery
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Rationale for checking potassium levels before surgery
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Prevent dysrhythmias from anesthesia
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What does dyspnea, cyanosis, increased heart rate, with sudden chest pain indicate?
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pulmonary embolus
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Routes used during general anesthesia
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inhalation and IV
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What phase of OR consists of counting sponges and instruments?
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intraoperative
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Who is allowed to push the PCA button?
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Only the patient
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What are high risk conditions that may affect perioperative procedures?
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age, mental status, nutritional state & health
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What does the nurse's signature verify on a consent?
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Voluntary consent & ID of patient
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Intervention for wound evisceration
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warm, moist NS sterile dressing
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induction phase
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administration of agents & endotracheal intubation
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maintenance phase
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positioning the pt., preparing skin for incision, & performing surgery.
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emergence phase
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anesthetics decreased & pt. begins to awaken
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paralytic ileus
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a decrease in or absence of peristalsis
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