Surgical Nursing - Pre/post Op Care

Front 1

What are the 3 types of surgery classifications?

Back 1

Surgeries are classified as to whether they are elective, non-elective, or emergency procedures.

Front 2

What is an elective surgery?

Back 2

Elective surgery is one that is not necessary to treat injury or disease.

Front 3

What is a non-elective surgery?

Back 3

A non-elective surgery is a procedure which is necessary to treat injury or disease but timing is not critical.

Front 4

What is an emergency surgery?

Back 4

An emergency surgery is a procedure that must be performed as soon as possible in order to preserve life.

Front 5

Which type of surgery is it more commonplace for clients to shop around for price?

Back 5

Clients are more likely to shop around for price with elective procedures.

Front 6

How far around the incision site should be clipped?

Back 6

Clipping should be performed 4 inches away from the expected incision site.

Front 7

What are 4 common types of clipping/preparation styles?

Back 7

Clipping styles include midline incision, orthopedic, paralumbar, and open wounds.

Front 8

Which clipping/preparation style is most commonly used for abdominal surgeries?

Back 8

A midline incision is most often done for abdominal surgeries.

Front 9

What area is clipped for a midline incision?

Back 9

For a midline incision, clip and scrub from xyphoid to pubis and from stifle to stifle.

Front 10

What are is clipped for an orthopedic procedure?

Back 10

An orthopedic procedure requires clipping from carpus or tarsus bones to dorsal midline of torso.

Front 11

What are is clipped for a paralumbar procedure?

Back 11

For a paralumbar procedure, clipping starts dorsal midline along spine from thoracic vertebrae 10 and 11 to lumbar vertebrae 5 and 6.

Front 12

What are paralumbar procedures commonly used for?

Back 12

Paralumbar procedures are commonly used for intervertebral repair.

Front 13

What are 4 types of devices used for positioning an animal for surgery?

Back 13

V-trays, sandbags, foam wedges, and rolled towels are used for positioning.

Front 14

What are 6 common positions used for animals in surgery?

Back 14

Common surgical positions include right lateral, left lateral, dorsal, ventral, perineal, and orthopedic.

Front 15

Which position is the most often used for surgeries?

Back 15

The dorsal position is the most common position utilized for most surgeries.

Front 16

What is a perineal position?

Back 16

A perineal position is one in which the hind end of animal is off the edge of the table.

Front 17

How are animals positioned for orthopedic procedures?

Back 17

Orthopedic procedures require suspension of an appendage with stirrups.

Front 18

How much area around surgical pack is considered sterile?

Back 18

Anything 12 to 24 inches around surgical pack is considered sterile.

Front 19

What method is used to pour fluids during a sterile procedure?

Back 19

The unsterile assistant will pour from 12 inches away ensuring that fluid bag does not come into contact with anything sterile.

Front 20

What is the purpose of drains?

Back 20

Drains are used in large wounds or cavities to drain fluid from them.

Front 21

What are the 3 phases of post operative care?

Back 21

The phases of post operative care are recovery, post recovery, and home care.

Front 22

What monitoring is performed in the recovery phase?

Back 22

In the recovery phase, it is necessary to monitor HR, RR, temp, MM, CRT, and check for hemorrhage and signs of pain.

Front 23

Which 2 aspects of monitoring in the recovery phase are the most important?

Back 23

HR and RR are the most important vitals to monitor in the recovery phase.

Front 24

What are the 2 most things to check for in the post recovery phase?

Back 24

The most important things to monitor for in the post recovery phase for hemorrhaging and pain.

Front 25

What is monitored in the post recovery phase?

Back 25

Post recovery phase monitoring includes HR, RR, temp, and checking for hemorrhaging and pain.

Front 26

What 7 items should be included in home care information given to clients?

Back 26

Discourage pet from licking or chewing, monitor incision for redness and swelling and discharge, notify that sutures should be removed in 7 to 14 days, watch for dehiscence, be aware of hypersensitivity to sutures with felines, offer printed information, and bandages should be kept clean and dry and provide good circulation.

Front 27

What signs would indicate to a client that an incision needs to be looked at by a vet?

Back 27

If it appears there is pressure on sutures, discharge turns milky or red, if redness becomes darker, or if there is a change in smell.

Front 28

What is the ideal time frame for removing sutures?

Back 28

The ideal time to remove sutures is at 10 days after surgery.

Front 29

What are signs of dehiscence?

Back 29

Signs of dehiscence are abnormal swelling, seromas, and a dripping wound.

Front 30

What should clients do if there is wound dehiscence?

Back 30

Clients should wrap wound and apply pressure, and get animal into clinic if there is wound dehiscence.