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Adult1
Adult Health Key Terms Test 1
55
Nursing
Undergraduate 3
02/13/2011

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Term
Surgery
Definition
the art and science of treating diseases, injuries, and deformities by operation and instrumentation
Term
Reasons to perform surgery
Definition
Diagnosis, Cure, Palliation, Prevention, Exploration, and Cosmetic Improvement
Term
Elective Surgery
Definition
a carefully planned event
Term
Emergency Surgery
Definition
an unexpected urgency
Term
Same-Day Admission
Definition
Patients being admitted on the day of surgery
Term
Ambulatory Surgery
Definition
also called same-day or out-patient surgery
Term
-ectomy
Definition
excision or removal of
Term
-lysis
Definition
destruction of
Term
-orrhaphy
Definition
repair or suture of
Term
-oscopy
Definition
looking into
Term
-ostomy
Definition
creation of opening into
Term
-otomy
Definition
cutting into or incision of
Term
-plasty
Definition
repair or reconstruction of
Term
Common Fears before surgery
Definition
Fear of death, Fear of pain and discomfort, Fear of mutilation or alteration, Fear of anesthesia, Fear of disruption of life functioning or patterns
Term
Sensory Information Preoperative Teaching
Definition
telling the patient what they will see, hear, smell and feel during the surgery
Term
Process Information Preoperative Teaching
Definition
tell patients the general flow of what is going to happen (includes the patient's transfer to the OR, waking up in the PACU etc...)
Term
Procedural Information Preoperative Teaching
Definition
patients desire more specific details about the surgery
Term
Anesthesia Care Provider (ACP)
Definition
one who administers anesthesia and can be an anesthesiologist or a nurse anesthetist
Term
Anesthesiology
Definition
discipline within the practice of medicine specializing in: medical management of patients, protection of life functions, management of pain, cardiopulmonary resuscitation, problems in pulmonary care, and critically ill patients under anesthesia
Term
Nurse Anesthetist
Definition
a registered nurse who has graduated from an accredited nurse anesthesia program and successfully completed a national certification exam to become a certified registered nurse anesthetist (CRNA)
Term
General Anesthesia
Definition
the technique of choice for patients who are having surgical procedures that are of significant duration, require skeletal muscle relaxation, require uncomfortable operative positions because of the location of the incision site, or require control of respiration
Term
Local Anesthesia
Definition
interrupts the generation of nerve impulses by altering the flow of sodium into nerve cells through cell membranes
Term
Regional Anesthesia
Definition
using a local anesthetic is always injected and involves a central nerve or group of nerves that innervate a site remote to the point of injection.
Term
Spinal Anesthesia
Definition
involves the injection of a local anesthetic into the cerebrospinal fluid found in the subarachnoid space, usually below the level of L2
Term
Epidural Block
Definition
involves injection of a local anesthetic into the epidural space via a thoracic or lumbar approach
Term
Malignant Hyperthermia (MH)
Definition
rare disorder characterized by hyperthermia with rigidity of skeletal muscles that can result in death
Term
Postanesthesia Care Unit
Definition
PACU
Term
Rapid Postanesthesia Care Unit Progression (RPP)
Definition
the patient may rapidly progress through Phase I to discharge to either Phase II care or an inpatient unit
Term
fast tracking
Definition
accelerated system of care which involves admitting ambulatory surgery patients who have received general, regional, or local anesthesia directly to Phase II care
Term
Airway Obstruction
Definition
commonly caused by blockage of the airway by the patient's tongue
Term
Atelectasis
Definition
alveolar collapse may be the result of bronchial obstruction caused by retained secretions or decreased respiratory excursion
Term
Emergence delirium
Definition
or waking up wild, can include behavior such as restlessness, agitation, disorientation, thrashing and shouting
Term
Delayed Emergence
Definition
most often caused by prolonged drug action which causes the client to not awaken right away
Term
Hiccups
Definition
(singultus)are intermittent spasms of the diaphragm caused by irritation of the phrenic nerve, which innervates the diaphragm
Term
Wound dehiscence
Definition
separation and disruption of previously joined wound edges
Term
Pain
Definition
"whatever the person experiencing the pain says it is, existing whenever the person says it does", "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage"
Term
Nociception
Definition
the physiologic process by which information about tissue damage is communicated to the CNS
Term
Transduction
Definition
involves the conversion of noxious mechanical, thermal, or chemical stimulus into an electrical signal called an action potential
Term
Transmission
Definition
the process by which pain signals are relayed from the periphery to the spinal cord and then to the brain
Term
Modulation
Definition
involves the activation of descending pathways that exert inhibitory or facilitatory effects on the transmission of pain
Term
Nociceptive pain
Definition
caused by damage to somatic or visceral tissue
Term
Neuropathic Pain
Definition
caused by damage to peripheral nerves or structures in the CNS
Term
Complex Regional Pain Syndrome (CRPS)
Definition
a debilitating type of neuropathic pain which includes changes in color and temperature of the skin over the affected limb/body part, intense burning pain, skin sensitivity, sweating and swelling
Term
Breakthrough Pain
Definition
transient, moderate to severe pain that occurs in patients whose pain is otherwise well controlled
Term
Analgesic Ceiling
Definition
increasing the dose beyond an upper limit provides no greater analgesia
Term
Refractive error
Definition
defect that prevents light rays from converging into a single focus on the retina
Term
Myopia
Definition
nearsightedness
Term
Hyperopia
Definition
farsightedness
Term
Presbyopia
Definition
loss of accommodation associated with age
Term
Astigmatism
Definition
caused by irregular corneal curvature
Term
Cataract
Definition
an opacity within the lens
Term
Glaucoma
Definition
not one disease, but a group of disorders characterized by increased IOP and the consequences of elevated pressure, optic nerve atrophy, and peripheral visual field loss
Term
Otosclerosis
Definition
a hereditary autosomal dominant disease in which spongy bone develops from the bony labyrinth, preventing movement of the footplate of the stapes in the oval window
Term
Meniere's Disease
Definition
characterized by symptoms caused by inner ear disease, including episodic vertigo, tinnitus, fluctuating sensorineural hearing loss, and aural fullness
Term
Presbycusis
Definition
hearing loss associated with aging, includes the loss of peripheral auditory sensitivity, a decline in word recognition ability, and associated psychologic and communication issues
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