Emergent requires immediate intervention dt life

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Emergent: Requires immediate intervention d/t life-threatening consequencesEx: gunshot, appendectomy, AAA, brain bleedsApproach/Extent of surgeryoSimple: Involves only the affected areaEx: simple mastectomy oMinimally Invasive: Surgery performed in a body cavity through one or more endoscopes
Ex: arthroscopy, tubal ligations, hysterectomy oRadical: Extensive surgery beyond area obviously involved to find root causes of disease or illnessEx: radical prostatectomy or hysterectomyPreop assessment (what info do we need?, patient restrictions, education on complications, etc.)Informed consentIntraoperative Care (Chapter 15):Surgical ScrubAnesthesia:oRole of providersoComplicationsSore throatN/vConstipationAnesthetic overdose (slow to wake)HypoventilationMalignant hyperthermia **EMERGENT**Treatment: IV Dantrolene Sodium Intraop complications (MH)Postoperative Care (Chapter 16):What are common postoperative complications of surgery?oWhat S/Sx of complications might we see?oHow do we prevent pneumonia? Constipation? UTI? Kidney injury? Bleeding? Infection?Postop assessment (what do we assess?, What is normal/abnormal postop?)Surgical incision careoDehiscence: partial or complete separation of the outer wound layersoEvisceration: EMERGENCY; total separation of all wound layers, so that internal organs protrudeTransition to homeoWhat does pt need education on?Pain controlSafetyInfectionDrain management and dressing changesNutritionIncrease protein, Cals, Vit CActivity restrictionsMedications (i.e. ABX)

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