NUR 172 Preeop
Why is surgery done? - answer- to diagnosis diseases
- to cure illnesses (ex: appendicitis)
- palliation (alleviating symptoms w/o curing the disease)
- to prevent something from becoming worse
- to explore the nature/extent of the disease
- for cosmetic improvement
ectopy - answer excision, removal (appendectomy)
lysis - answer destruction (electrolysis)
orthoepy - answer suturing or repair (herniorrhaphy)
oscopy - answer looking into (endoscopy)
ostomy - answercreate an opening (colostomy)
otomy - answercutting into (tracheotomy)
plasty - answerrepair or reconstruction of (mammoplasty)
What are surgical classifications? - answer- seriousness
Major: extensive reconstruction OR alteration of body parts (open heart, total abdominal
hysterectomy)
Minor: minimal alteration in body parts
- elective: completely based on client's choice and not necessary for health or life
- urgency: needed for HEALTH care purposes
- emergency: perform immediately
What are requirements in order to have a procedure at a free standing clinic? - answer-
less than 2 hours
- requires less than 3-4 hr stay in PACU
- pts must be a low surgical risk
local vs regional anesthesia - answerLocal: loss of sensation w/o LOC
- ex: used in dental offices
Regional: loss of sensation to a body region w/o LOC
- ex: epidural, used to numb part of the body
What are the 3 stages in peri-operative nursing care? - answerPre-operative (before)
Intra-operative (during)
, Post-operative (after)
What is the focus in the pre-operative stage? - answerFocus is on promoting recovery
from anesthesia and the surgery itself, and reduce complications
What is the focus in the intra-operative stage? - answerFocus is on safety to prevent
complications
What is the focus in the post-operative stage? - answerFocus is on immediate safe
recovery from anesthesia, assessment and prevention of acute complications such as
hemorrhage, pain control. In an ambulatory setting final reinforcement of postoperative
instructions is also a focus
Is preoperative nursing fast paced? - answeryes and frequently changes based on
emerging technology and research
What are the prep stages? - answerInterview
Assessment
Diagnostic Screening
Informed Consent
Pre-op teaching
What happens in the interview/assessment stage of preop? - answerHealth history
(subjective data)
- allergies
- past surges
- meds
Which supplements may promote bleeding? - answer- vit E
- ginseng
- ginko biloba
- ginger
- garlic
- fever few
What supplements result in liver problems? - answer- echinacea
- kava
- valerian
What supplements increase BP? - answer- ginseng
- goldenseal
- kava
- vit E
What does the psychosocial assessment assess? - answerPatient anxiety
- work to make the pt feel comfortable (spiritual beliefs, religious beliefs)
Why is surgery done? - answer- to diagnosis diseases
- to cure illnesses (ex: appendicitis)
- palliation (alleviating symptoms w/o curing the disease)
- to prevent something from becoming worse
- to explore the nature/extent of the disease
- for cosmetic improvement
ectopy - answer excision, removal (appendectomy)
lysis - answer destruction (electrolysis)
orthoepy - answer suturing or repair (herniorrhaphy)
oscopy - answer looking into (endoscopy)
ostomy - answercreate an opening (colostomy)
otomy - answercutting into (tracheotomy)
plasty - answerrepair or reconstruction of (mammoplasty)
What are surgical classifications? - answer- seriousness
Major: extensive reconstruction OR alteration of body parts (open heart, total abdominal
hysterectomy)
Minor: minimal alteration in body parts
- elective: completely based on client's choice and not necessary for health or life
- urgency: needed for HEALTH care purposes
- emergency: perform immediately
What are requirements in order to have a procedure at a free standing clinic? - answer-
less than 2 hours
- requires less than 3-4 hr stay in PACU
- pts must be a low surgical risk
local vs regional anesthesia - answerLocal: loss of sensation w/o LOC
- ex: used in dental offices
Regional: loss of sensation to a body region w/o LOC
- ex: epidural, used to numb part of the body
What are the 3 stages in peri-operative nursing care? - answerPre-operative (before)
Intra-operative (during)
, Post-operative (after)
What is the focus in the pre-operative stage? - answerFocus is on promoting recovery
from anesthesia and the surgery itself, and reduce complications
What is the focus in the intra-operative stage? - answerFocus is on safety to prevent
complications
What is the focus in the post-operative stage? - answerFocus is on immediate safe
recovery from anesthesia, assessment and prevention of acute complications such as
hemorrhage, pain control. In an ambulatory setting final reinforcement of postoperative
instructions is also a focus
Is preoperative nursing fast paced? - answeryes and frequently changes based on
emerging technology and research
What are the prep stages? - answerInterview
Assessment
Diagnostic Screening
Informed Consent
Pre-op teaching
What happens in the interview/assessment stage of preop? - answerHealth history
(subjective data)
- allergies
- past surges
- meds
Which supplements may promote bleeding? - answer- vit E
- ginseng
- ginko biloba
- ginger
- garlic
- fever few
What supplements result in liver problems? - answer- echinacea
- kava
- valerian
What supplements increase BP? - answer- ginseng
- goldenseal
- kava
- vit E
What does the psychosocial assessment assess? - answerPatient anxiety
- work to make the pt feel comfortable (spiritual beliefs, religious beliefs)
