FLS Written Exam ACTUAL UPDATED Questions and CORRECT Answers
Terms in this set (22)
absolute contraindications to laparoscopy - unable to tolerate laparotomy
- hypovolemic shock
- lack of surgeon training
- no support @ hospital
relative contraindications to laparoscopy - can't tolerate general anesthesia
- long standing peritonitis
- large abdominal/pelvic mass
- massive hernia
- severe cardiopulmonary disease
visceral artery aneurysm risk of injury w/ trocar insertion
previous abdominal surgery scars can be an issue, may have intraperitoneal
adhesions
CO2 readily absorbed, easily eliminated
increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH,
greatest change is seen in the first 20 minutes
nitric oxide less acid base issues, can be tolerated in cardiopulmonary patients, slightly less
postoperative pain
which has less light - 5 mm 30 degree lens or 10 mm 0 4 mm 30 degree
degree?
what is monopolar used for? small vessels
slow rate of bleeding
need a dry operative field
what is bipolar rused for? larger vessels
need a wet operative field
less lateral thermal spread
- not good for capillary vessels
gas embolus rare but can occur
seen less than 1 percent of the time
diagnose with severe hypotension, JVD, tachycardia, mill wheel murmur
* need to rule out other sources of hypotension
most common sources of unrecognized bleeding trocar injury of abdominal vessels,
when does dissection occur? temp above 600 degrees
postoperative nausea/vomiting risk factors female, young, previous issues, morning sickness, nonsmoker, procedural length,
lower ASA classification, preoperative anxiety, prevention involves using anti
emetics, limiting opioids if possible
Terms in this set (22)
absolute contraindications to laparoscopy - unable to tolerate laparotomy
- hypovolemic shock
- lack of surgeon training
- no support @ hospital
relative contraindications to laparoscopy - can't tolerate general anesthesia
- long standing peritonitis
- large abdominal/pelvic mass
- massive hernia
- severe cardiopulmonary disease
visceral artery aneurysm risk of injury w/ trocar insertion
previous abdominal surgery scars can be an issue, may have intraperitoneal
adhesions
CO2 readily absorbed, easily eliminated
increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH,
greatest change is seen in the first 20 minutes
nitric oxide less acid base issues, can be tolerated in cardiopulmonary patients, slightly less
postoperative pain
which has less light - 5 mm 30 degree lens or 10 mm 0 4 mm 30 degree
degree?
what is monopolar used for? small vessels
slow rate of bleeding
need a dry operative field
what is bipolar rused for? larger vessels
need a wet operative field
less lateral thermal spread
- not good for capillary vessels
gas embolus rare but can occur
seen less than 1 percent of the time
diagnose with severe hypotension, JVD, tachycardia, mill wheel murmur
* need to rule out other sources of hypotension
most common sources of unrecognized bleeding trocar injury of abdominal vessels,
when does dissection occur? temp above 600 degrees
postoperative nausea/vomiting risk factors female, young, previous issues, morning sickness, nonsmoker, procedural length,
lower ASA classification, preoperative anxiety, prevention involves using anti
emetics, limiting opioids if possible
