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Cards In This Set
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Definition of surgery
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Art & science of tx disease, injury, deformities by operation, instrumentation
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6 class of surgery
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Diagnostic, curative, palliative, prevention, exploration, cosmetic.
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Pre-op Review of Cardiac system
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Pre-exist. heart disease, pulses, auscultation, edema.
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Pre-op review of respiratory system
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Smoking, interval since last cigarette, URI, allergies, physical exam.
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Pre-op review of nervous system
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Response to questions, follows commands, hx of stroke, TIA, spinal cord injury, nervous system diseases.
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Pre-op review of urinary system
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HX of renal disease (baseline BUN, creat.), BPH, other urinary disease.
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Pre-op review of liver
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Assess for jaundice, ETOH abuse, hx of hepatitis, cirrhosis
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Pre-op Review of integumentary system
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Document location of bruises, abrasions, scars; skin/mucosa dryness; presence of rash may indicate drug rxn
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Pre-op review of muscoloskeletal system
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Weakness (TIA, stroke), decreased ROM, pain on movement, DOCUMENT baseline.
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Pre-op review of endocrine system
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HX of DM, thyroid function, Addisons's adrenal insufficiency
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Pre-op medication history
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D/C aspirin/NSAIDS 1-2 wks prior;
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How does st. john's wort affect surgery?
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Prolongs anesthesia, affect cardiac drug actions.
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What common drug contains aspiring?
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Alka Seltzer
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What nutritional info needs to be obtained prior to surgery?
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Ht, wt (ACP), swings in wt, obesity, dental (dentures, bridge work, caps, loose teeth).
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Psychological assessment contains:?
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Situational changes, concerns with unknown, concerns with body image, past experiences, knowledge deficit.
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