Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
21 Cards in this Set
- Front
- Back
|
Surgical risks medications
|
age > 65
antihypertensives tricyclic antidepressants anticoagulants NSAIDs |
|
|
Surgical risks Medical hx
|
decreased immunity
diabetes pulmonary disease cardiac disease hemodynatic instability multisystem disease coagulation issue anemia dehydration infections hypertension hypotension any chronic disease |
|
|
Surgical risks - prior surgeries
|
emotional response
anesthesia complications post op complications |
|
|
surgical risks health hx
|
malnutrition
obesity drug, atoh, illicit substance abuse altered coping ability |
|
|
family hx
|
cancer
malignant hyperthermia bleeding disorder |
|
|
betadine (iodine)
|
same allergens as shellfish
|
|
|
allergies to bananas or other fruits
|
allergic to latex
|
|
|
preoperative cardiac status
|
HR, , heart sounds, abnormalities
VTE Hx? temp, color, peripheral pulses, cap refill edema SOB, chest pain, dyspnea |
|
|
preoperative respitory status
|
age, smoking hx, chronic illness, rr, rhythm and epth overall resp effort and lung expansion
nail clubbing cyonysis auscultate lungs |
|
|
kidney function preoperative
|
affects excretion of drugs an waste products
urine frequency dysuria nocturia oliguria |
|
|
Nutritional status
|
malnutrition and obesity
increases metabolic rate and depletes potassium, Vit c, vit , decrease serum protein levels slow healing, negative nitrogen from low protein = risk for skin breakdown, possible dehiscnece and evisceration |
|
|
Obesity
|
Poor wound healitng, excess adipose tissue has few blood vessels and bdecreased nutrients
stresses heart and lung volumes |
|
|
Diagnostic surgery
|
determine the origin and cause or type of cell if cancer
|
|
|
curative surgery
|
resolve health problem
|
|
|
restorative surgery
|
imporve pt's functional ability
|
|
|
palliative surgery
|
relieve symptoms but no cure
|
|
|
cosmetic suregry
|
imporve appearance
|
|
|
elective surgery
|
correction of nonacute problem
|
|
|
urgent surgery
|
requires prompt attention - life threatening if doesn't occur in 24-48 hrs
|
|
|
emergent surgery
|
life threatening
|
|
|
preop labs
|
urinalysis
blood type and screen hg an hc CBC clotting electrolyte levels creatinine and BUN pregnancy? |
