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Arterial Blood Gases (ABG) |
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Definition
The Standard for monitoring Oxygenation for all age groups of surgical patients. Using pulse oximetry has made it easier due to expediency and lack of indwelling probe that could cause infection |
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Include multiple sclerosis, lupus erythematosus, and rheumatoid arthritis |
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A device used to draw blood and give treatments, including intravenous fluids, drugs, or blood transfusions. A thin, flexible tube is inserted into a vein, usually below the collarbone. It is guided (threaded) into a large vein above the right side of the heart called the superior vena cava. A needle is inserted into a port outside of the body to draw blood or give fluids. |
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A disease in which the body does not control the amount of glucose (a type of sugar) in the blood and the kidneys make a large amount of urine. |
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An inflammation that occurs throughout your intestines |
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Reaching the trauma victim and providing treatment within the first hour following injury is critical in determining the patient's outcome |
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Human Immunodeficiency Virus (HIV) |
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Definition
A retrovirus that may remain dormant and undetected within the body for a long period of time before causing disease. This virus disrupts the normal function of T-cells of the body which will impair a person's immune system |
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A core body temperature that is below 35°C |
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The degree of function of an immune system that is designed to keep a patient free from infections from pathogens |
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Intra-arterial Measurement |
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Blood pressure measurement which is dependent on the dynamic response of the measuring system, defined by its natural frequency (fnatural) and damping coefficient (Zdamping). |
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a disease in which cancer cells are found in the skin or mucous membranes that line the gastrointestinal (GI) tract, from mouth to anus, including the stomach and intestines |
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bilirubin encephalopathy, is bilirubin-induced neurological damage, which is most commonly seen in infants. |
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Mechanism of injury. The action and effect of a particular type of force on the human body |
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Definition
Flexibility of tissue
Shape of the injuring force
Velocity of the injuring force |
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Results when a foreign body passes through tissue (bullets/knives) |
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made up of three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0–12. In START triage, a patient with a score of 12 is labeled delayed, 11 is urgent, and 3–10 is immediate. |
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a collection of air outside the lung but within the pleural cavity. It occurs when air accumulates between the parietal and visceral pleura inside the chest. The air accumulation can apply pressure on the lung and make it collapse. |
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a life-threatening condition that happens when your blood pressure drops to a dangerously low level after an infection. Any type of bacteria can cause the infection. At first the infection can lead to a reaction called sepsis. |
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Definition
A surgical procedure to remove your spleen |
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Definition
an enlargement of the spleen. the spleen may be affected by many conditions involving the blood or lymph system, and by infection, malignancies, liver disease, and parasites. |
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A contracted state of muscle |
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Definition
Output measurement using a collection bag to be accurate. Appropriate output is 1 to 2mL/kg/hr |
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Venous Compression Device |
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Definition
devices are used to help prevent blood clots in the deep veins of the legs. The devices use cuffs around the legs that fill with air and squeeze your legs. |
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Heart Rate: Infant under 2 |
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Definition
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Definition
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Definition
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an emergency condition in which severe blood or other fluid loss makes the heart unable to pump enough blood to the body. This type of shock can cause many organs to stop working. |
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Complicated birth, difficult |
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Term
Obese Patients:
Morbid Obesity |
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Definition
100lbs greater than ideal body weight |
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Term
Obese Patients:
Myocardial Hypertrophy |
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Definition
Enlargement of the heart due to the increased demands placed on the heart leading to congestive heart failure |
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Term
Obese Patients:
Hypertension and vascular changes in the Kidney |
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Definition
Affects the elimination of protein wastes and the maintenance of normal fluid and electrolyte balance |
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Term
Obese Patients:
Varicose veins and Edema |
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Definition
Typically, in the lower levels due to poor venous returns |
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Term
Obese Patients:
Pulmonary complications |
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Definition
Decreased tidal volume leading to hypoxemia, shortness of breath, sleep apnea, and decreased lung expansion making the patient susceptible to postoperative pulmonary infection and embolism |
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Term
Obese Patients:
Why more Anesthesia |
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Definition
Higher concentrations are needed due to their uptake by large amounts of adipose tissue |
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Term
Obese Patients:
Positioning |
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Definition
Skin wrinkles should be smoothed out when positioning to avoid cutting off circulation to the tissue |
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Term
Obese Patients:
Grounding Pad |
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Definition
Stretch skin to remove wrinkles and provide a flat surface for the pad. Should not be surrounded by overlapping skin folds |
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Term
The Trendelenburg position |
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Definition
is achieved by elevating the feet and legs of the patient above the level of the heart in the supine position. |
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Definition
procedures include gastric bypass, sleeve gastrectomy, gastric band and duodenal switch. These operations have proven results in treating class III obesity. They also help normalize your metabolism, including blood sugar, blood pressure and cholesterol. |
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A surgical procedure that connects part of the stomach to the jejunum (the middle part of the small intestine). This allows food and other stomach contents to pass directly from the stomach to the jejunum without passing through the first part of the small intestine called the duodenum. |
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Definition
is surgery to remove your gallbladder |
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Definition
means putting a dye called a contrast medium into the bile ducts and gallbladder to show them up clearly on x-ray. |
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Definition
Insulin dependent Diabetes mellitus: The pancreas produces little or no insulin, and the individual must have daily, regular doses of insulin |
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Non-insulin dependent diabetes mellitus: The pancreas produces different amounts of insulin; the patient is not required to take insulin, and glucose levels are usually controlled by diet |
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Definition
socks place pressure on the legs to increase circulation. In doing so, they reduce a person's risk of blood clots. |
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pregnant patients:
Abdominal procedures |
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Definition
Best performed in the 2nd trimester |
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Term
pregnant patients:
Procedures in 3rd trimester |
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Definition
There is a 40% risk of premature labor |
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pregnant patients:
Electronic Fetal Heart Monitor (EFM) |
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Definition
instruments are used to continuously record the heartbeat of the fetus and the contractions of the woman's uterus during labor. |
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pregnant patients:
Anesthesia |
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Definition
There is an increase in preterm labor, fetal death, and low birth weight |
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pregnant patients:
Operating room table |
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Definition
Adjusted at an angle of 30 degrees to the left to aid with venous return |
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Term
Primary routes of Transmission |
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Definition
Droplet, Airborne, Contact: direct or indirect, Vector borne (mosquito, flies, rats), Fomite borne (medical devices, equipment, shelf and table tops, contaminated surgical equipment) |
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Individuals who are over the age of 65 |
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Definition
They present with one or more Comorbid conditions when entering the surgical environment |
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Substance Abuse correlation to Psychiatric illness |
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Definition
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of or in an immobile or unresponsive stupor. |
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Meets all required need to treat trauma patients, including qualified personnel and equipment available 24hr, offering a comprehensive service and the highest level of surgical care |
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Can treat seriously injured or ill patients, but does not have all of the resources that a level 1 facility would have. |
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Definition
Most often a community or rural hospital in an area that does not have a LVL1 or LVL2 facility. These facilities offer limited care and have resources for immediate treatment until the trauma patient is stabilized and transported |
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Available in some states, these health care facilities can provide advanced trauma life support required to stabilize the patient before transportation |
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Definition
Results from forces such as deceleration, acceleration, compression or shearing. Includes Motor vehicle accidents, Falls, assaults, and sport injuries |
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Term
MVA most often injured organ |
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Definition
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Surgeon order of Priority |
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Definition
Head, Chest, Abdomen, and then Extremities |
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Term
Gunpowder residue may be found |
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Definition
On the hands or clothes, A plastic bag may be tied around the hands with tape |
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Term
Chain custody of evidence |
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Definition
Must be documented in writing accounting for the identification of all individuals on the surgical team who handled the evidence |
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Term
Head and neck positioning |
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Definition
The anesthesia care provider is responsible for moving the head and neck of the patient and keeping the cervical spine stable and in-line |
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Term
Post Traumatic Stress Disorder PTSD |
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Definition
The result of prolonged exposure to situations or a series of situations characterized by the patient suffering from long term emotional, psychological and social problems |
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