preop Flashcards

Histamine
Terms Definitions
endoscope
minimally invasive. keyhole surgery
telesurgery
remote surgery. Dr not present
urgent surgery
needed within 20-30 hours
elective surgery
planned with no time requirements
optional surgery
requested by patient
aesthetic surgery
requested by patient for improvement
diagnostic
to obtain tissue samples
exploratory
conformation or measurement
preventive
removal of tissue before its a problem
curative
remove abnormal tissue
palliative
alleviate symptoms with out curing
reconstructive
correct defects
perioperative
preop, intraop, postop
role of LVN in preop
data collection, reinforce explanations, provide support
preop begins and ends
decision for surgery, and ends with transfer to OR
intraop begins and ends
transfer to OR and ends with admission to perianesthesia care
postop begins with and ends
admission to PACU and continues until recovery is complete
anesthesia
reversible loss of sensation
factors that influence surgical outcome
emotional response, age, hydration and nutrition, smoking and alcohol, diseases
protein promotes
tissue repair and healing
vitamin c promotes
collagen formation
zinc promotes
tissue growth, skin integrity, cell mediated immunity
dehiscence
opening of incision
interview process
health history, ID of risk factors, patient and family teachings, discharge planning, and referrals
malignant hyperthermia
hereditary muscle disease that can cause life threatening reaction to anesthesia
preop routines
date and time, admission, length of stay, items to bring, recovery, discharge
atelectasis
collapse lung caused by hypoventilation or mucous obstruction preventing alveoli from opening
incentive spirometer
sit up, two breaths, inhale for 2-3 secs, exhale. 10 sets each hour
meds that need to be stop 7 days prior
warfarin (coumadin), aspirin, NSAIDs
informed consent involves
diagnosis, treatment and who will perform, outcome, risks, alternatives, and prognosis with out treatment. signed before analgesics, given voluntary.
consent
permission. Protects from unauthorized procedures, and protects staff from claims
perop checklist
ID band, V/S, makewup and nails removed, remove hair and jewlry, dentures and contacts removed, glasses, charting reviewed, valuables recoreded, void
antianxiety and sedative
sedation; anxiety reduction
anticholinergics
secretion reduction
antiemetics
nausea and vom
alkalinizing agents
increase gastric pH
antibiotics
prevent infection
histamine antagonists
reduce acidic gastric secretions
aseptic
elimination of microorganisms
antianxiety meds
valium, ativan, versed
anticholinergic meds
atropine, robinul, scopolamine hydrobromide
antiemetic meds
zofran, reglan, phenergan
alkalinizing agent meds
bicitra
histamine antagonist meds
pepcid, zantac
opiod meds
morphine, fentanyl, demerol
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