Perioperative1
65 flashcards · Other · by KRYSTEL ANN A MARTIN
Goal of Perioperative Nursing Practice
To assist clients and their families and significant others to achieve a level of wellness equal
Nurses Roles
To prepare the patient for surgery, caring for the patient during surgery and facilitating the patient recovery following surgery
is the art and science of treating disease, injuries, and deformities by operation and instrumentation
Surgery
extends from the time the patient is admitted to the surgical unit, to the time he/she prepared physically, psychologically, spiritually and legally for the surgical procedure, until he/she is transported into the operating room.
preoperative phase
Admission to the Surgical unit
preoperative phase
Preparation physically, psychologically, spiritually and legally for the surgical procedure
preoperative phase
Transport to OR
preoperative phase
extend from the time the patient is admitted to the OR, to the time of administration of anesthesia, surgical procedure is done, until he/she is transported to the recovery room/post anesthesia care unit (PACU)
Intraoperative phase
Admission to the OR
Intraoperative phase
Anesthesia, Surgery
Intraoperative phase
transport to Recovery Room/ PACU
Intraoperative phase
extends from the time the patient is admitted to the RR/PACU, to the time he is transported back into the surgical unit, discharge from the hospital, until the follow up care
postoperative phase
Admission to RR/PACU
postoperative phase
Back to surgical unit
postoperative phase
patient discharge
postoperative phase
Follow up care
postoperative phase
Conditions that require surgery
Perforation, Obstruction, Erosion, Tumors
Rupture of an organ
Perforation
Impairment to the flow of vital fluids
Obstruction
Wearing off a surface or membrane
Erosion
abnormal growth of tissues
Tumors
Classification of Surgical Procedures
According to purpose According to degree of risk According to urgency and surgical setting
Surgical Procedures according to purpose
Diagnostic, Exploratory, Curative
Surgical Procedures according to degree of risk
Major surgery and Minor surgery
Surgical Procedures according to urgency
Planned required, emergency, elective, imperative, optional
Surgical Procedures according to urgency
Ambulatory surgery, In-patient surgery
to confirm the presence of a disease condition
diagnostic
to determine the extent of disease condition
exploratory
To treat the disease condition
Curative
involves the removal of an organ.
Ablative
Suffix used is “Ectomy”
Ablative
removal of appendix
Appendectomy
removal of uterus
Hysterectomy
removal of the ovary
Oophorectomy
removal of the breast
Mastectomy
removal of the lung
Pneumonectomy
removal of the tonsils
Tonsillectomy
removal of the gall bladder
Cholecystectomy
involves repair of congenitally defective organ.
Constructive
What are the suffixes used in constructive
“plasty”, “orrhaphy, “pexy”
repair of cleft lip
Cheiloplasty
repair of cleft palate
Uranoplasty
repair of hernia
Herniorrhaphy
repair of undescended testes
Orchidopexy
involves repair of a damage organ. Ex. Plastic surgery after severe burns, scar revision
Reconstructive
to relieve distressing signs and symptoms, not necessarily to cure the disease
Palliative
to inhibit the transformation of precancerous lesions or benign tumors to malignant tumors
Preventive
Types of curative surgery
Ablative, Constructive, Reconstructive, Palliative, Preventive, Cosmetic Surgery
should be done immediately to save the client’s life or limb
Emergency
should be done within 24-48 hours
Imperative
this procedure is necessary for the well being of the client and may be scheduled weeks or months
planned required
the procedure is not absolutely necessary for survival, delay or omission will not cause adverse effect
Elective
It is requested by the patient It is usually for aesthetics purposes
Optional
patients who are admitted to the hospital are usually admitted a day before or on the day of the surgery (same day admission)
Inpatient surgery
called Same day or outpatient surgery
Ambulatory surgery
is conducted in emergency departments, endoscopy department, doctor’s clinics, surgical clinics and outpatient surgery units in the hospital
Ambulatory surgery
excision or removal of
ectomy
Destruction of
Lysis
Repair or suture of
Orrhaphy
looking into
oscopy
creation of opening
ostomy
Cutting into or incision of
otomy
repair or reconstruction of
Plasty
repair of the nose
rhinoplasty
repair of the eyelids
blepharoplasty