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the art and science of treating diseases, injuries, and deformities by operation and instrumentation |
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Reasons to perform surgery |
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Diagnosis, Cure, Palliation, Prevention, Exploration, and Cosmetic Improvement |
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a carefully planned event |
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Patients being admitted on the day of surgery |
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also called same-day or out-patient surgery |
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cutting into or incision of |
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repair or reconstruction of |
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Common Fears before surgery |
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Fear of death, Fear of pain and discomfort, Fear of mutilation or alteration, Fear of anesthesia, Fear of disruption of life functioning or patterns |
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Sensory Information Preoperative Teaching |
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telling the patient what they will see, hear, smell and feel during the surgery |
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Process Information Preoperative Teaching |
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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...) |
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Procedural Information Preoperative Teaching |
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patients desire more specific details about the surgery |
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Anesthesia Care Provider (ACP) |
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one who administers anesthesia and can be an anesthesiologist or a nurse anesthetist |
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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 |
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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) |
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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 |
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interrupts the generation of nerve impulses by altering the flow of sodium into nerve cells through cell membranes |
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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. |
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involves the injection of a local anesthetic into the cerebrospinal fluid found in the subarachnoid space, usually below the level of L2 |
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involves injection of a local anesthetic into the epidural space via a thoracic or lumbar approach |
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Malignant Hyperthermia (MH) |
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rare disorder characterized by hyperthermia with rigidity of skeletal muscles that can result in death |
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Rapid Postanesthesia Care Unit Progression (RPP) |
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the patient may rapidly progress through Phase I to discharge to either Phase II care or an inpatient unit |
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accelerated system of care which involves admitting ambulatory surgery patients who have received general, regional, or local anesthesia directly to Phase II care |
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commonly caused by blockage of the airway by the patient's tongue |
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alveolar collapse may be the result of bronchial obstruction caused by retained secretions or decreased respiratory excursion |
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or waking up wild, can include behavior such as restlessness, agitation, disorientation, thrashing and shouting |
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most often caused by prolonged drug action which causes the client to not awaken right away |
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(singultus)are intermittent spasms of the diaphragm caused by irritation of the phrenic nerve, which innervates the diaphragm |
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separation and disruption of previously joined wound edges |
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"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" |
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the physiologic process by which information about tissue damage is communicated to the CNS |
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involves the conversion of noxious mechanical, thermal, or chemical stimulus into an electrical signal called an action potential |
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the process by which pain signals are relayed from the periphery to the spinal cord and then to the brain |
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involves the activation of descending pathways that exert inhibitory or facilitatory effects on the transmission of pain |
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caused by damage to somatic or visceral tissue |
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caused by damage to peripheral nerves or structures in the CNS |
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Complex Regional Pain Syndrome (CRPS) |
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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 |
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transient, moderate to severe pain that occurs in patients whose pain is otherwise well controlled |
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increasing the dose beyond an upper limit provides no greater analgesia |
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defect that prevents light rays from converging into a single focus on the retina |
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loss of accommodation associated with age |
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caused by irregular corneal curvature |
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an opacity within the lens |
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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 |
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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 |
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characterized by symptoms caused by inner ear disease, including episodic vertigo, tinnitus, fluctuating sensorineural hearing loss, and aural fullness |
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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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