Card Set Information

2012-01-09 02:26:50

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  1. Ways in which surgeries can be classified
    • Surgical procedures are categorzed by 4 ways the 1. purpose, 2. body location(system),3. extent and degree of urgency, and4. degree of risk
    • Reason for Surgery: Diagnostic, Curative, restorative, Palliative(relieve symptomsof a diseas process, but does not cure), Cosmetic
    • Urgency of surgery: Elective (planned for correction of a nonacute problem), Urgen (prompt intervention, maybe life-threatening if dleya more than 24-48hr), Emergent (required immediate intervention)
    • Degree of risk of surgry: Minor (local anasthesia), Major (greater risk, longer and more extensive)
    • Extent of Surgery: Simple and Radical
    • Minimal invasive surgery:
  2. Factors that increase a patient's surgical risk or risk for poroperative complications
    • In iggy book pg. 244 table 16-2
    • Chart 16-1 Older adults
    • Seven factors affect surgical risk:
    • Age
    • Type of wound (potential for infection)
    • Preexisting conditions
    • Mental status
    • Medications
    • Personal habits
    • Allergies
  3. Legal implications for obtainig an informed consent
    • it is one way to help ensure patient safety. It helps protect the patient from any unwanted procedures and protects the surgeon and the facility from lawsuit claims related to unauthorized surgery or uninformed patient.
    • You, as a nurse, are not responsible for providing detailed information about the surgical procedure. Rather, your role is to clarify facts that have been presented by the physician and dispel myths that the patient or family may have about the surgical experience. You verify that the consent form is signed, and you serve as a witness to the signature, not to the fact that the patient is informed. If you believe that the patient has not been adequately informed, contact the surgeon and request that he or she see the patient for further clarification. Document this action in the chart.
  4. Physical preperation for surgery
    • Ensuring informed consent
    • Implementing Dietary restrictions
    • Administering regularly scheduled drugs
    • Intestina preraration
    • Skin Preparation
    • Prepare for tubes, drains, and vascular access
    • Postoperative procedures and exercises
    • Procedures and exercises to prevent respiratory complications and cardiovascular complications