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31 Cards in this Set
- Front
- Back
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What is the criteria for ambulatory surgery?
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1. Can be performed with
general or local anesthetic. 2. Surgery takes less than 2h. 3. Requires less than a 3h stay in PACU 4. Does not require hospital stay |
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Abrasion
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Superficial damage to skin not deeper than epidermis
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Cochlear Implant
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Electronic device that restores partial hearing to the deaf. Surgically implanted in the inner ear & device is worn outside the ear.
-Directly stimulates the nerve of hearing |
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Cataract
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-Clouding of the natural lens.
-Old cells die they become trapped in the capsule -Image blurred or fuzzy ->55 yrs common |
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Contusion
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-Black & blue brusing
-Caused by sudden external pressure -Rupture of tiny vessels |
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Debridement
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Removal of dead, damaged, or infected tissue
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Dehiscence
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Rupture or splitting of surgical wound, or organ structure to discharge its contents
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Evisceration
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Remove entrails: Disembowle
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Keratoplasty
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Corneal transplant
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Myringotomy
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Tiny incision to eardrum to relieve pressure caused by excessive buildup of fluid to drain pus
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Palliative surgery
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To ease or relieve
-pain -Inability to move or fx as usual -An obstruction |
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Penrose drain
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Soft rubber tube placed in wound area to prevent build up of fluid
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Radial Keratomy (RK)
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Surgical proceedure to reduce myopia by changing the curvature of the cornea
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Scleral Buckling
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Repair retnal detatchment
Close the retinal break Band of thin silicone sewn around the circumference of the sclera & eye |
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Stapendectomy
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Surgical proceedure of the middle ear to improve hearing.
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Tympanoplasty
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Use pt. own tissue to reconstruct perforated typanic membrane (eardrum)
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Pre-Op Checklist
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1. Routine hygiene done
2. NPO 3.Denture/Bridges out 4. In gown 5.Nail polish removed 6. Vitals within 4h of OR 7. Family notified 8. Skin prep done 9. Allergy & ID bands on 10. No jewelry (bands taped) 11. Chart completed a.Hx & Physical b.Labs-X-rays c.Consent forms d.Etc |
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Diagnostic Surgery
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Determine cause/origin of disorder
-Breast biopsy, exploratory laproscopy, arthroscopy, cell type for cancer. |
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Curative Surgery
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Resolve health problem by repairing/removing cause
-Mastectomy, hysterectomy, lap cholecystectomy |
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Restorative Surgery
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Increase client functional mobility
-TKR, Finger reimplantation |
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Pallative surgery
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Relieve symptoms of disease process not a cure
-Colostomy, Tumor, nerve root resection, ileostomy |
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Cosmetic Surgery
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Alter/Enhance personal appearance
-Liposuction, scar revision, rhinoplasty, blepharoplasty |
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Ablative Surgery
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Removal of body part
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Two reasons trend towards ambulatory & outpatient surgery
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1. Cost
2. Patient comfort 3. Increase in technology |
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Common fears with surgery
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Fear of
1.pain & discomfort 2.of the unknown 3.mutilation 4.death 5.anesthesia 6. disruptions of life patterns |
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Patient interview before surgery
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1.Obtain information about pt
2.Provide information about the surgery (what type) 3. Obtain pt. consent |
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Patient consent
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1. SN cant validate
2. valid consent can be cx at anytime 3. Invasive = consent Noninvasive no consent |
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Increase Pt operative risk
Cardiovascular |
1.Recent MI (wait 6 mos=elective)
2.Need for prophylactic antibiotic treatment 3.Use of cardiac medications 4.pre existing disease |
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Increase Pt operative risk
Respiration |
History of
1.Dyspnea 2.URI 3.Asthma 4.Cough 5.smoking 6.Increase age |
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Increase Pt operative risk
CNS |
1.Appropiate responses
2.Ability to follow commands & answer questions readily 3.Hx of CVA, spinal cord injury, CP (cerebral palsy) |
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Increase Pt operative risk
Renal |
1.F&E imbalance
2.Coagulopathies 3.Risk for infection 4.Impaired wound healing 5.Medications |
