Study Guide for the Final Exam for Tuesday Lecture.ag.docx - Study Guide for the Final Exam for Tuesday Lecture Operative Cycle(30 Q Surgical Procedure

Study Guide for the Final Exam for Tuesday Lecture.ag.docx...

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Study Guide for the Final Exam for Tuesday Lecture Operative Cycle: (30 Q) Surgical Procedure Classifications / purposes Classified according to urgency, risk and purpose - Based on Urgency o Elective – preplanned and based on the patient’s choice and availability of scheduling for the patient, surgeon, and facility. Nonurgent procedure that does not have to be done immediately Delay of surgery has no ill effects Purpose: To remove or repair a body part To restore function To improve health To improve self-concept Example: tonsillectomy, hernia repair, cataract extraction and lens implantation, hemorrhoidectomy, hip prosthesis, scar revision, facelift, mammoplasty. o Urgent (major) – must be done within a reasonably short time frame to preserve health, but is not an emergency Usually done within 24-48 hours Purpose: To prevent further tissue damage To preserve life; trauma repair, control of hemorrhage Example: Removal of gallbladder, coronary artery bypass graft, surgical removal of malignant tumor, colon resection, amputation o Emergency – must be done immediately to preserve life, a body part, or function. Purpose: To prevent further tissue damage To preserve life Example: control of hemorrhage, repair of trauma, perforated ulcer, intestinal obstruction, tracheostomy - Based on Degree of Risk o Major – May be elective, urgent or emergency o May require hospitalization and specialized care, has a higher degree of risk, involves major body organs or life-threatening situations, and has a greater risk for postoperative complications. o Purpose: To preserve life To remove or repair a body part To restore function To improve or maintain health
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o Examples: carotid endarterectomy, cholecystectomy, nephrectomy, colostomy, hysterectomy, radical mastectomy, amputation, trauma repair, CABG o Minor – Primarily elective Almost always performed in settings such as health care provider’s office, an outpatient clinic, or a same-day, outpatient surgery setting (ambulatory surgery) Surgical procedure usually carries a low risk and results in few complications o Purpose: To remove skin lesions To correct deformities o Example: Teeth extraction; removal of warts, skin biopsy, dilation and curettage, laparoscopy, cataract extraction, arthroscopy - Based on Purpose Diagnostic o To make or confirm a diagnosis Breast biopsy, laparoscopy, exploratory laparotomy Ablative o To remove a diseased body part Appendectomy, subtotal thyroidectomy, partial gastrectomy, colon resection, amputation Palliative o To relieve or reduce intensity of an illness; is not curative Colostomy, nerve root resection, debridement of necrotic tissue, balloon angioplasties, arthroscopy Reconstructive o To restore function to traumatize or malfunctioning tissue o To improve self-concept Scar revision, plastic surgery, skin graft, internal fixation of a fracture, breast reconstruction.
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