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Definition
| care that clients receive before,during and after surgery |
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Term
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Definition
| starts when clients or their families in an emergency learn that surgery is necessary and ends when clients are transported to the operating room |
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Definition
| is the term used for procedures performed on a client who is admitted to the hospital expected to remain at least overnight and in need of nursing care for more than 1 day |
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Definition
| physician who administers chemical agents that temporarily eliminate sensation and pain |
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Definition
| nurse specialist who administers anesthesia under the direction of a physician |
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Definition
| used for operative procedures performed on clients who return home the same day |
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Definition
| is performed at the clients request. (cosmetic purposes) |
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Definition
| is planned at the clients convenience. Failure to have the surgery does not result in a catastrophe (surgery for a superficial cyst) |
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Definition
| is necessary ad should be done relatively promptly. (surgery for removal of a cataract) |
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Definition
| is required promptly, within 1-2 days if at all possible. (surgery for a malignant tumor) |
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Definition
| is required immediately for survival. (to relieve intestinal perforation) |
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Definition
| removal and study of tissue to make a diagnosis |
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Definition
| More extensive means to diagnosis a problem; usually involves exploration of a body cavity or use of scopes inserted through small incisions |
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Definition
| relief of symptoms or enhancement of function without cure |
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Definition
| correction of defects, improvement of appearance or change to a physical feature |
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Term
| Client Discharge from Outpatient Surgery is when |
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Definition
1. the client is awake and alert
2. vital signs are stable
3. pain and nausea are controlled
4. oral fluids is retained
5. the client voids a sufficient quantity of urine
6. the client has received discharge instructions |
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Term
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Definition
| lasers convert a solid, liquid or gas into light which when focused the energy from the light is converted into heat, causing vaporization of tissue and coagulation of blood vessels |
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Term
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Definition
| substance composed of vaporized tissue, carbon dioxide, and water that may contain intact cells and is accompanied by smoke and an offensive odor. airborne cells may contain viruses possibly including HIV so goggles and a mask is worn |
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Term
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Definition
| is the permission a client gives after an explanation of the risks, benefits and alternatives are given. The physicians is responsible for providing the information that meets this criteria. A signed form witnessed by the nurse is evidence that consent has been obtained. |
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Term
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Definition
| self donated blood. Can be salvaged blood lost during or immediately after surgery |
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Term
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Definition
| blood donors chosen from among the clients family and friends. (but not from siblings in case a future organ donation may be needed from them, antigens in the transfused blood would sensitize the recipient increasing the risk for organ or tissue rejection.) |
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Term
| Procedures Done During The Immediate Preoperative Period |
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Definition
1. nursing assessment
2. preoperative teaching
3. performing methods of physical preparation
4. administering medication
5. assisting with psychosocial preparation
6. completing the surgical checklist |
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Term
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Definition
| a form of controlled ventilation that opens and fills small air passages in the lungs. Reduces the risk of respiratory complications after surgery. |
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Term
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Definition
| airless collapsed lung areas which can lead to hypoexmia |
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Definition
| lung infection which can lead to hypoxemia |
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Definition
| coughing that is purposely produced to clear the airways of secretions or thick sputum after surgery |
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Term
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Definition
| stationary blood clots in the veins that are formed from sluggish circulation or the fluid component of blood is reduced like after surgery. So they require you to do leg exercises to keep the blood from pooling in your lower extremities. |
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Term
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Definition
| are knee-high or thigh-high elastic stockings, sometimes called thromboembolic disorder (TED)hose. They help to prevent thrombi and blood clots by compressing superficial veins and capillaries, redirecting the blood to larger and deeper veins where it flows more effectively to the heart |
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Term
| Skin Preparation Preoperative |
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Definition
| includes removing hair and cleansing of skin because they are reservoirs for microorganisms. It helps to prevent postoperative wound infections. |
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Term
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Definition
| tiny cuts that provide an entrance for microorganisms. Shaving causes this so many institutions use electric clippers or don't remove hair at all. |
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Term
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Definition
| a clean bowel allows for improved visualization of the surgical site and prevents trauma to the intestine or accidental contamination of the abdominal cavity with feces. A distended bladder increases the risk for bladder trauma and difficulty in performing operative procedure. So a nurse may use enemas and catheters to eliminate these risk factors. |
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Term
| Food and Fluids Preoperative |
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Definition
1. can consume clear liquids 2 hours before a surgical procedure
2. have a light breakfast 6 hours before surgery and eat a heavier meal 8 hours before surgery. NPO for 6 hrs. |
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Term
| Patient Valuables Preoperative |
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Definition
1. leave valuables at home
2. entrust them to a family member if forgot to leave at home
3. wrap wedding ring with gauze if refuse to remove
4. otherwise health care agency itemizes, places in envelope and locks them in a designated area and the client signs a receipt and the nurse signs whereabouts in the clients medical records. |
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Term
| Surgical Attire Preoperative |
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Definition
| consists of a hospital gown and surgical cap and the surgeon may order knee high or thigh high antiembolism stockings or for the legs to be wrapped in elastic roller bandages to prevent venous stasis |
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Term
| Dentures and Prostheses Preoperative |
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Definition
| some require removal of dentures while some anesthesiologists prefer to leave well fitting ones in to preserve facial contour. Artificial limbs are removed unless otherwise ordered. |
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Term
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Definition
| are administered preoperative to decrease respiratory secretions, dry mucous membranes and prevent vagal nerve stimulation during endotracheal intubation |
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Term
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Definition
| reduces preoperative anxiety, causes slight sedation, slows motor activity, and promotes the induction of anesthesia |
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Term
| Histamine-2 Receptor Antagonist |
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Definition
| may be given preoperative to decrease gastric acid and volume |
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Term
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Definition
| may be given preoperative to decrease the amount of anesthesia needed and sedates the client |
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Term
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Definition
| may be give preoperative to promote sleep or conscious sedation and decreases anxiety |
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Term
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Definition
| may be given preoperative to destroy enteric microorganisms |
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Term
| Psychosocial Preparation Preoperative |
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Definition
| should begin as soon as the client is aware that surgery is necessary. Anxiety and fear can affect clients condition during and after surgery making them prone to complications and have a poor response to the surgery. |
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Term
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Definition
| nurse is responsible for completing and signing. operating room personnel review it when they arrive to transport client. Surgery maybe delayed if incomplete. |
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Term
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Definition
| the time during which the client under goes surgery |
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Term
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Definition
| a place in the surgery department where clients are observed until the operating room and surgical team are ready. Preoperative medication may be administered there, as well as skin preparation to reduce the rate of microbial proliferation. |
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Term
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Definition
| acts on the central nervous system to produce loss of sensation, reflexes and consciousness and is delivered via inhalation or intravenous route. Clients do not remember much about the initial recovery period. |
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Term
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Definition
| given to higher risk patients, who will experience loss of sensation and decreased mobility to the specific anesthetized area but does not lose consciousness ex. epidural and peripheral nerve blocks. Advantage decreased risk for respiratory, cardiac and gastrointestinal complications |
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Term
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Definition
| refers to a state in which clients are sedated and are free of pain, fear and anxiety and can tolerate unpleasant diagnostics procedures such as endoscopies and bone marrow aspiration while maintaining independent breathing. They can also respond verbally and physically. Administered intravenously. Clients are discharged shortly after the procedure. |
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Term
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Definition
| medications that counteract the effects of those used for conscious sedation. They must be readily available in case the client becomes overly sedated. |
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Term
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Definition
| is the room where family and friends wait information about the client. It is staffed by volunteers who provide comfort and news about the client. The surgeon comes there after the procedure to contact the family, then they go to a private room to ensure confidentiality |
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Term
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Definition
| begins after the operative procedure is completed and the client is transported to an area to recover from anesthesia and ends when the client is discharged |
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Term
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Definition
| is the area in the surgical department where clients are intensively monitored to ensure the safe recovery of the surgical client from anesthesia |
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Term
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Definition
| nursing care after surgery |
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Term
| Immediate Postoperative Period |
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Definition
| the first 24 hours after surgery, client is monitored for complications as they recover from anesthesia, once stable a room is prepared for the clients return |
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Term
| Initial Postoperative Assessment |
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Definition
1. level of consciousness
2. vital signs
3. effectiveness of respirations
4. need for supplemental oxygen
5. condition of wound and dressing
6. location of drains and drainage characteristics
7. local, type and rate of IV
8. level of pain and need for analgesia
9. presence of urinary catheter and urine volume |
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Term
| Food and Oral Fluids Postoperative |
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Definition
| they are withheld until surgical clients are awake,free of nausea and vomiting and bowel sounds are active.Must have gag reflex. Liquid diet then progresses to soft diet. |
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Term
| Venous Circulation Postoperative |
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Definition
| clients ambulate as soon as possible to reduce the potential for pulmonary and vascular complications. |
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Term
| Pneumatic Compression Device |
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Definition
| a machine that promotes circulation of venous blood and relocation of excess fluid into the lymphatic vessels. the device compresses the sleeved extremity either intermittently or sequentially from distal to proximal areas. |
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Term
| Wound Management Postoperative |
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Definition
| nurses assess the condition of the wound and the characteristics of drainage once each shift |
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Term
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Definition
| directions for managing self-care and medical follow up |
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Term
| Discharge Instructions Include |
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Definition
given verbally and written
1. care of the incision site
2. signs of complications
3. drugs to use for pain
4. self-administration of prescribed meds
5. when activity can be resumed
6. how much weight can be lifted
7. foods to consume or avoid
8. when and where next appointment |
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Term
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Definition
| obstruction of the throat |
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Term
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Definition
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Term
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Definition
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Definition
| Obstruction of circulation through the lung as a result of a wedged blood clot that began as a thrombus |
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Term
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Definition
| inadequate oxygenation of blood |
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Definition
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Definition
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Definition
| proliferation of pathogens at or beneath the incision |
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Definition
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Term
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Definition
| protrusion of abdominal organs through separated wound |
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Term
| Post Operative Oxygen Administration |
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Definition
| if oxygen saturation is less than 90% administer oxygen if prescribed by physician |
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Term
| Postoperative Vital Sign Assessment |
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Definition
| check every 15 minutes until stable |
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Term
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Definition
| report failure to void within 8hr after surgery |
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Term
| Preoperative skin care is best preformed |
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Definition
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Term
| When the nurse assesses a client postoperative which assessment is most indicative of shock |
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Definition
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Term
| After giving a preoperative medication containing a narcotic, the most important nursing action is to |
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Definition
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