Hema Peri Intro

NCM112j –Perioperative/ Hematology/Cellular Aberration/Immunology
INTRODUCTION TO PERIOPERATIVE NURSING

PERIOPERATIVE NURSING  OOPHOR - OVARIES
 It is used to describe the nursing  NEPHRO - KIDNEYS
care provided in the total surgical  NEURO - NERVE
experience of a patient.  PNEUMO - LUNGS
 the provision of nursing care by a  SALPHINGO - FALLOPIAN TUBE
nurse preoperatively,  THORACO - CHEST
intraoperatively, and  VISCER - ORGAN
postoperatively to a patient Common Surgical Terminology
undergoing an operative or invasive  RRHAPY - suturing or stitching of a
procedure. part of an organ
 PLASTY - repair or to restore
Preoperative Phase  ITIS - inflammation
Admission to the surgical unit  ECTOMY - removal of organ or part of
an organ
PREPARATION FOR SURGERY  OSCOPY - to visualize or to look into
Physiologic, Psychological, Spiritual,  OTOMY - making an opening
Legal  OSTOMY – making an opening and
insertion of tube
Transport to the Operating Room  LITHIASIS - stone in a particular or
part of an organ
Intraoperative Phase
ADMISSION TO THE OR Conditions Requiring Surgery
 Perforation - rupture of an organ,
ANESTHESIA/SURGERY artery, or bleb
 Obstruction – blockage
RECOVERY ROOM/PACU  Erosion - wearing away of a
surface of a tissue
Post-operative Phase  Tumor - abnormal growth
ADMISSION TO THE RR/PACU
Categories of Surgery
BACK TO SURGICAL UNIT DISCHARGE According to:
 PURPOSE
FOLLOW-UP CARE  URGENCY, DEGREE OF
 RISK, DEGREE OF
Common Surgical Terminology
 SUPRA - ABOVE According to PURPOSE:
 ARTHRO - JOINTS Classification of Surgical Procedures
 CHOLE - GALL OR BILE 1. DIAGNOSTIC - verifies suspected
 CYSTO - BLADDER diagnosis (ex. hysteroscopy)
 ENCEPHALO - BRAIN 2. Palliative – relieves symptoms but
 ENTERO - INTESTINE does not cure the diseases (ex.
 HYSTERO - UTERUS colostomy bag)
 MAST - BREAST 3. Curative - to treat the disease
 MENINGO - MEMBRANE condition. (ex. Infected appendix
 MYO - MUSCLE removed)
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4. Exploratory - estimates the extent Major Surgery
of the disease or injury. (ex.  Involves high degree of risk
exploratory laparotomy)  Complicated or prolonged
 Large amount of blood loss
Types of CURATIVE Surgery:  Extensive: Vital organs may be
 CONSTRUCTIVE - repair of a handled or removed
congenitally defective organ by  Ex: liver biopsy, colectomy
improving its function or appearance. Minor Surgery
e.g. plastic surgery of a cleft palate,  Involves less risk
cheiloplasty  Produces few complications
 ABLATIVE - removal of diseased  Generally not prolonged; described as
organs “one-day surgery” or outpatient
e.g. nephrectomy, appendectomy surgery
 RECONSTRUCTIVE - partial or  Ex: cyst removal
complete restoration of a damaged
organ or tissue to its original  the extent of the disease
appearance and function.  the location of the diseased organ
e.g. plastic surgery after burns  the magnitude of the required
operation
 CONSTRUCTIVE - repairing  mental attitude of the person toward
congenitally defective organ back surgery
orig. appearance and function.  resources and preparation of the
- SUFFIX “PLASTY”, “ORRHAPY”, “PEXY” surgeon, nurses, and the hospital
- ex. cheiloplasty
 ABLATIVE- removal of diseased AMBULATORY Surgery
organs Advantages:
- ex. Nephrectomy  Reduces length of hospital stay and
 RECONSTRUCTIVE – partial or cuts costs
complete restoration of a damaged  Reduces stress for the patient
organ or tissue to its original  Less incidence of hospital acquired
appearance and function. infection
- ex. plastic surgery after burns  Less time lost from work by the
patient; minimal disruptions on the
According to: URGENCY, Degree of patient’s activities and family life.
CLASSIFICATION INDICATION EXAMPLE Disadvantages:
 Less time to assess the patient and
perform preoperative teaching.
 Less time to establish rapport
 Less opportunity to assess for late
postoperative complication.
According to: RISK, DEGREE OF

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NCM112j –Perioperative/ Hematology/Cellular Aberration/Immunology

INTRODUCTION TO PERIOPERATIVE NURSING

According to: RISK, DEGREE OF

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