Medsurg 1: Pre, Intra. Post Op

Explain the pre-op phase

getting pt ready for surgery:

• assess

• teach

• consent

When does the Intra-op phase begin?

begins in surgical suite

When does the post-op phase begin?

immediately after surgery

What is the purpose of a diagnosis?

to determine the cause of illness

What is the purpose of a cure?

to eliminate the illness or disease

What is the purpose of palliation?

to relieve symptoms

What is the purpose of a prevention?

to remove potential threats

What is the purpose of cosmetics?

to enhance appearance

What is the purpose of exploration?

to determine the extent of a disease

What is elective srugery?

planned surgery, not urgent

What is emergency surgery?

surgery needed immediately to save life

Explain inpatient recovery

staying in the hospital at least one night post-surgery

Explain ambulatory recovery

goes home the same day of surgery

What can pre-op anxiety be caused by?

• past experiences

• fear of the unknown

Name some things we collect in a past medical and surgical history assessment.

• current and past conditions

• previous surgeries

• menstrural/ obstetric history

• family history

• substance use

What does collecting medication history entail?

all current meds

• perscriptions

• OTC

• vitamins

• herbal supplements

• recreational drugs

• NSAIDs

drug allergies or intolerances

What is a review of systems?

gathering subjective information from patients about all the body systems

What systems make up the ROS? (9)

• cardiac

• respiratory

• neurological

• renal

• liver

• musculoskeletal

• integumentary

• immune

• endocrine

In regards to nutrtions and fluid status, what do we have to assess?

• under/over nourishment

• protien deficiencies

• obesity risks

• recent vomitting, diarrhea

• NPO status

What preop med is used for anxiety/ sedation?

Benzodiazepines

What preop med is used for reducing secretions?

Anticholinergics

What preop med is used for pain relief?

opiods

What preop med is used for preventing nausea?

antiemetics

What preop med is used for preventing infection?

antibiotics

What preop med is used for cardiac protection?

Beta-blockers