Surgery Patient

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Author:
wiscflor
ID:
13072
Filename:
Surgery Patient
Updated:
2010-04-04 17:21:30
Tags:
MS1 Quiz 4
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  1. Examples of surgery indications
    Diagnostic:
    Curative:
    Palliative:
    Preventive:
    Explorative:
    Cosmetic:
    • Diagnostic - breast biopsy
    • Curative - appendectomy
    • Palliative - debulking of tumor, not curing
    • Preventive - remove a suspicious mole
    • Explorative - arthroscopy, looking around
    • Cosmetic - repair, reconstruct, enhance
  2. 5 Important pre-op interviews
    • Psychosocial
    • Medications
    • Allergies/sensitivities
    • Review of systems
    • Anesthesia
  3. Pre-Op Medications: Benzodiazepines
    Types:
    Actions:
    Versed, Valium, Ativan

    • Decrease anxiety
    • Promote sedation
  4. Pre-Op Medications: Narcotics
    Types:
    Action:
    Morphine, Demerol, Fetanyl

    Pain relief
  5. Pre-Op Medications: Gastric pH drugs
    Types:
    Action:
    Tagamet, Pepcid, Zantac, Antacids

    • Increase pH
    • Decrease gastric volume
  6. Pre-Op Medications: Antiemetics
    Types:
    Action:
    Reglan, Inapsine

    • Increase gastric emptying
    • Decrease N&V
  7. Pre-Op Medications: Anticholinergics
    Types:
    Action:
    Atropine, Glycopyrrolate, Scopalimine

    • Decrease secretions
    • Prevent bradycardia
  8. What are the three components of a surgical suite?
    Unrestricted - nurse station, control desk

    Semirestricted - transition area, scrubs on, hair covered

    Restricted - surgical room, masks on
  9. What are the phases of anesthesia?
    • Induction
    • Maintenance
    • Emergence
  10. Intraoperative IV agents: Barbiturates
    Types:
    Action:
    Pentothal, Brevital

    Rapid induction, short duration
  11. Intraoperative IV agents: Non-Barbiturates
    Types:
    Action:
    Amidate, Propofol

    Rapid onset and elimination

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