Term
|
Definition
o General, regional or local anesthetic
o Generally shorter surgery with anticipated short recovery
o Healthier patients
o Fast paced
o Required by insurance for some surgeries |
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Term
|
Definition
| stays in hospital after surgery |
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Term
|
Definition
| associated with coagulation abnormalities, cardiovascular complications and sedative effects. Stop taking 2-3 weeks before surgery. |
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Term
| herbs thaht Increase blood pressure and or heart rate include |
|
Definition
ginseng
goldenseal
ephedra
licorice |
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Term
| herbs that increase bleeding time |
|
Definition
garllic
ginger
ginko
feverfew
danshen
dong quai |
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Term
| herbs that have sedative effects |
|
Definition
kava
st johns wort
valarian |
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Term
| recreational drug history is important it effects |
|
Definition
| type and amount of anesthesia and alagesics |
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Term
|
Definition
• Potential liver damage decreases metabolism of anesthetics
• Poor healing from nutrition
• increases risk of bleeding; potential for withdrawal |
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Term
| socail history of recreational drugs include |
|
Definition
recreational drugs
smoking
alchol |
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Term
| Allergies latex food trigger |
|
Definition
|
|
Term
| Respiratory status is important because a recent respiratory infection may |
|
Definition
|
|
Term
| SOME lab values depend on |
|
Definition
age
medical history
medications |
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Term
|
Definition
o Hypoventilation atelectasis pneumonia
o Broncho/laryngospasm
o Respiratory failure
o Smoking
• Atelectasis pneumonia ( Secretions with ability to expectorate) |
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Term
| • Cardiovascular Disorders |
|
Definition
o Demands on myocardium
o Risk hemorrhage
o Hypotension
Shock |
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|
Term
| CARDIOVASCULAR DISORDERS CAN LEAD TO |
|
Definition
|
|
Term
|
Definition
o Risk for delayed wound healing, infection, dehiscence, herniation of incision
o Hypoventilation atelectasis pneumonia
o Thrombophlebitis DVT pulmonary embolism
o Dysrhythmias and heart failure |
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Term
|
Definition
o Fluctuating blood glucose levels
o Delayed wound healing
o Wound infection |
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Term
| • Renal and liver dysfunction |
|
Definition
o Metabolism and excretion of drugs
o Risk for bleeding
o Delayed wound healing
o Fluid/electrolyte imbalances |
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Term
|
Definition
o Insufficient reserves for increased metabolic demand
o Impaired wound healingo Risk for infection
o increases Risk for organ failure |
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Term
|
Definition
o Withdrawal DTs (When was their last drink?)
o Probable malnourishment
o Risk of bleeding>
o Delayed wound healing |
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Term
|
Definition
| • They have decreased tolerance of general anesthesia & postop medications & delayed wound healing |
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Term
|
Definition
|
|
Term
| increases risk for acute renal failure |
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Definition
|
|
Term
| abdominal surgery will cause |
|
Definition
|
|
Term
| Patients receiving antibiotics for a period of time are at risk for |
|
Definition
Clostridium
difficile (C. diff). Monitor for fever, diarrhea and abdominal pain |
|
|
Term
Intermittent high fever,
chills
diaphoresis
may indicate |
|
Definition
|
|
Term
| • Dehiscence: separation of surgical wound |
|
Definition
o Infection
o Granulation tissue not strong enough, insufficient abdominal support
o Obesity
o Call MD immediately
o Raise HOB slightly and have patient flex knees to tension on abdominal muscles |
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Term
| • Evisceration: abdominal contents protrude from wound |
|
Definition
| • Cover wound with sterile dressing moistened with sterile NS |
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