-
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
-
5 Important pre-op interviews
- Psychosocial
- Medications
- Allergies/sensitivities
- Review of systems
- Anesthesia
-
Pre-Op Medications: Benzodiazepines
Types:
Actions:
Versed, Valium, Ativan
- Decrease anxiety
- Promote sedation
-
Pre-Op Medications: Narcotics
Types:
Action:
Morphine, Demerol, Fetanyl
Pain relief
-
Pre-Op Medications: Gastric pH drugs
Types:
Action:
Tagamet, Pepcid, Zantac, Antacids
- Increase pH
- Decrease gastric volume
-
Pre-Op Medications: Antiemetics
Types:
Action:
Reglan, Inapsine
- Increase gastric emptying
- Decrease N&V
-
Pre-Op Medications: Anticholinergics
Types:
Action:
Atropine, Glycopyrrolate, Scopalimine
- Decrease secretions
- Prevent bradycardia
-
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
-
What are the phases of anesthesia?
- Induction
- Maintenance
- Emergence
-
Intraoperative IV agents: Barbiturates
Types:
Action:
Pentothal, Brevital
Rapid induction, short duration
-
Intraoperative IV agents: Non-Barbiturates
Types:
Action:
Amidate, Propofol
Rapid onset and elimination
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