Perop -Med Surg.docx - Preoperative Care Surgery Suffixes o...

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Preoperative Care Surgery Suffixes o Ectomy:Excision or removal of o -lysis: Destruction of o -orrhaphy: Repair or suture of o -oscopy: Looking into o -ostomy: Creation of opening into o -otomy: Cutting into or incision of o -plasty: Repair or reconstruction of Types of surgery o Elective surgery or ambulatory: non-emergency, usually outpatient o Emergency: ie hernia repair, appendectomy Nurse’s Job: o Know procedure, diagnostic exams (normal/ abnormal results) o Assessment, health history, consent Interview Patient o Review what has been done o Health information, clarify info about surgery, emotional state, expectations of surgery, consent, pre-op tests complete? o Allow time for questions o Education: what surgery room will be like, turn cough deep breath after, anything that will change post-op (SCDs, drainage tubes, brace) Assessment o FULL H2T all of the systems Unpacking the systems o Past medical history: last menstrual period, adverse reaction to anesthesia, allergies o Medications: otc and prescription, NSAIDs or antiplatelets, recreational o Psychosocial: stress, identify stressor, communicate to all members of team Anxiety: sources could be too much or too little info, unrealistic expectations. Anxiety effects judgment, cognition, coping, and healing Fear: sources- death, disability, pain, disrupting life. Hope: may be strongest method of coping, do not deny or minimize hope. Assess and support but do not lie o Cardiovascular: past and present, medications, pacemaker, risk for VTE? 12 lead EKG, coagulation studies, prophylactic antibiotics, labs o Respiratory: recent infections, COPD, asthma, inhalers Smoking increases risk for complications, sleep apnea, obesity, airway deformity o Neurological: vision or hearing loss, cognitive deficits, power of attorney, baseline of function (should return to baseline) o Genitourinary: renal urinary disease, renal dysfunction, BUN, creatinine, retention, incontinence 30 mL/ hr minimum
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