Pre-Op Exam Lecutre 1

Protrusion of an internal organ through a wound or surgical incision(pt sudden "give" where sutures/staples have broken)

Surgery is classified in 3 ways! What 3 are they?

HTN, Diabetes, GI, Ulcers, Bleeding disorders

Produces amnesia, analgesia, muscle paralysis and sedation(Given by IV or inhalation and unconsciousness occurs 10-20sec

person DIRECTLY ASSISTS THE SURGEON by controlling bleeding and providing wound exposure and suturing during procedure

Loss of sensation at desired site injected or placed topically

SELECT WHAT APPLY for factors influencing how patients tolerate surgery.

Reactions to the anesthesia, blood clots, hemorrhaging.

Aspirin, coumadin, plavix, xarelto or other anticoagulants (increased risk for bleeding)

Depressed level of consciousness. Pt independently maintains a pt airway.

This means DURING surgery

Not necessary to preserve life and may be performed when the pt chooses. (Face lift, breast augmentation)

This is required to keep addition health problems from occurring. (mastectomy due to cancerous tumor)

Surgical procedure that PREVENTS any problems or damage from occurring. (Mastectomy due to family hx of breast cancer)

Alters the wound healing process post-operatively

Surgical exploration: allows physicans ro confirm diagnosis (breast mass biopsy)

This is the result of the patients surgical history or a result of family surgical history.

For relief or reduction of intensity of disease symptoms. Will NOT produce a cure. (removing a mass from abdomen)

NOT hospitalized. Enters setting, has procedure and goes home the same day

Hopsitalized for surgery come in on the day of surgery or be admitted proper to but requires hospitalization afterwards

Alteration of personal appearance (rhinoplasty to reshape nose)

This person works DIRECTLY with the surgeon with the sterile field by passing instruments, sponges, and other items.

Perioperative Period Includes: SELECT ALL THAT APPLY

Cures the problem

True or False: Patients can have narcotics before signing a consent

Can change anesthesia requirements

This is AFTER surgery

Can affect other medications

True or False: Teaching should be done 1-2 days prior to surgery

Select ALL that apply: Anestesia is divided into 4 categories what are they

Department or floor of the hospital where pt's stay does NOT EXCEED 24hrs

RESTORATION of function lost or reduced as result of congential anomalies (repair of cleft palate)

Restoration of function/ appearance to traumatized or malfunctioning tissue(internal fixation of fx, breast reconstruct)

Patients must NOT be disoriented, unconscious or under the unfluence of sedatives when signing a consent form.

Pre-Op Assessment ALWAYS include what 3 things!

Medications, antiseptic solution, latex, etc

The absence of all sensation including pain

Separation of surgical incision or rupture of wound closure.

person works OUTSIDE the sterile field & is responsible for managing nursing care within the OR. Observes medical team.

REPLACEMENT of malfunctioning organs (heart, kidney)

The patients bill of rights affirms that patients must give __________BEFORE a specific test or procedure.

Excision or removal of diseased body part (amputation, thyroidectomy)

Treatment of body injuries or disorders by incision or manipulation. especially with instruments.

Independently owned agency. Surgery is performed overnight hospitalization is NOT required.

Loss of sensation in the area of the body. (No loss of consciousness. Ex: Femoral nerve block post knee surgery)

This is performed IMMEDIATELY to save the individuals life or to preserve the function of a body part or system.

This is BEFORE surgery