Anaesthetics and surgery Flashcards Preview

PHTH 524 > Anaesthetics and surgery > Flashcards

Flashcards in Anaesthetics and surgery Deck (29)
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1
Q

what is a laparatomy

A

laparoscopic incision in and around abdomen area

2
Q

What is a thoracotomy

A

incision along side of thorax

3
Q

What are common complications with surgery

A
  • Mortality
  • Bleeding
  • Infection
  • atrial fibrillation
  • Myocardial infarction
  • stroke
  • respiratory
4
Q

What is the most common restriction following sternal surgeries? is it conclusive?

A

no lifting and/or pulling or pushing of greater than 5 lbs

no - argument surrounding this topic, standard sternotomy does not need any restrictions

5
Q

What is the purpose of an ECG

A

monitor patients cardiac rhythm and rate

6
Q

what are 3 results of pain meds

A
  • BP drop (diastolic drop greater than 20% of baseline)
  • Respiratory rate drop (less than 10 per minute)
  • Significantly altered mental status
7
Q

Can PT’s press the PCA for the patient

A

no

8
Q

what is an epidural

A

catheter inserted in between the vertebrae in epidural space to allow administration of medication

9
Q

What is a pigtail draink

A

drains fluid from body with no suction

10
Q

what is a JP drain

A

removes fluid with constant suction

11
Q

what is hemovac

A
  • drains incision/wound and has suction
12
Q

What is a major CV concern post-operative

A

Cardiovascular embolism

13
Q

What is an embolus

A

aparticle that moves about in our blood vessels, either in the veins or arteries

14
Q

what is a thrombus

A

emboli that are composed of clotting blood

15
Q

what is a thrombo-embolism

A

a moving thrombus

16
Q

What is thrombophlebitis

A

an inflammatory process that causes a blood clot to form and block one or more veins usually in your legs

17
Q

What are the three general deep vein thrombosis risk factors

A
  • Hypercoagulability
  • Vascular damage
  • Circulatory stasis
18
Q

Anaesthetic causes _____ deep breathing

A

decreased

19
Q

Anaesthetic causes _____ tidal volume

A

decreased

20
Q

Anaesthetic causes _____ coughing and sign inhibition

A

decreased

21
Q

Anaesthetic causes _____ risk of blood clots and general decreased circulation disorders

A

increased

22
Q

Anaesthetic causes _____ position and mobilization

A

decreased

23
Q

Anaesthetic causes _____ respiratory rate

A

increased

24
Q

Anaesthetic causes _____ need of appropriate closing volume

A

increased

25
Q

Anaesthetic causes _____ functional residual capacity

A

decreased

26
Q

What is the overall overcome of anaesthetic post-operatively

A
  • Increased risk of infection
  • Increased risk of secretion retention
  • Increased risk of atelectasis
  • increase immobility
  • increased length of stay
  • increased complications
  • increased work of breathing
  • decreased vital capacity
27
Q

What are the main physiotherapy treatment goals post-operatively

A
  1. breathing

2. moving

28
Q

post operatively what is the PT Treatment regarding the chest

A
  • Positioning
  • Suctioning
  • Deep breathing/coughing
  • manual chest physiotherapy (percussion
29
Q

What are other areas of physiotherapy treatment post op

A

mobilization

  • POD #1 - up to chair/dangle off bed
  • POD #2 - AAT
  • Discharge - equipment referral, community PT