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Med Surge Final - Pro-Op and Musclskeletal

AB
Scoliosislateral curve of spine
Arthroscopyvisual exam of joint
Arthrocentesisaspiration of synovial fluid
Bone ScanIV injection w/dye
3 types of castscylinder body hip
castridge mold that immobilizes
Bivalve Castafter set, may be cut in 2 to reduce swelling
Splintimmobilized and supports
Bracesprovides support control movement and prevent add injuries
Reducing Fracturesrestore proper alignment
Tractionpulling structures of muscular system
Traction is used torelief muscle spasms, align bones, immobilization
Closed Reduction fixed byexternal manupulation
Internal Fixationmetal screws, plates, rods
External Fixationfrom outside of skin, metal pins inserted in bones
Arthroplastyreconstruction of joint
Subluxationdislocation
Strainsstretched or pulled
Sprainsinjury to ligament
RICErest ice compression elevate
Epiphysesends of bones
Diaphysesshaft of bones
Osteoblastsbone cells, builds bones
Osteocytesmature bone cell, function osteoblasts to form new bone
Osteoclastsdestruction and resorption bone cells
Periosteumprotecticve layer that covers bone
3 types of musclesskeletal smooth cardiac
Skeletal musclesvoluntary - movement of bones
Smooth muscleslines organs - involuntary
Cardiacinvoluntary - only in heart
Synarthrodial jointsimmovable - skull
Amphiarthrodial jointsslightly moveable - between vertebrae
Diarthorodialfreely movable
Synovialaka Diarthorodial
Tendonsmuscle 2 bone
Ligamentsbone 2 bone
Cartilagereduces friction between articular surfaces
Bursaesmall sac filled w/synovial fluid
Kyphosisexaggerated Thoracic
Lordosisexcessive convave lumbar
perioperativeentire surgery
preoperativedecision 4 surgery - reach or
intraoperativesurgery
postoperativerecovery - dismissal
curative surgeryremove/replace to restore function - hip
palliativerelief symptoms or enhance function
pre-existing med conditionsimmune, respiratory, cardio, hepatic
consent formagree 2 surgery, understands risks - benefits
nurse responsibilityget consent form signed
preop medsanticholinergics, anxiety, narcotics sedatives
spinal anesthesiain subarachnoid space, headache
epiduralextradural space - no h/a
ambulatory surgery akasame day, out patient surgery
critera for day surgerynot critically ill, not many hrs surgery, family to care
discharge critera for day surgerystable cardio, easily aroused, talk, intac refluxes
phases of sedation - daytitration, procedure, recovery
required surgeryplan few weeks/month
urgent surgeryw/in 24-30 hrs
4 stages anesthesiainductin, excitement, surgical anesthesia, medullary depression
classify pt according togeneral, physical and risk potential
scrub nursehand instruments to surgical team
circulating nurseopen sterile equip, keep records, coordinate others
surgical suites have ____ air flowpositive
malignant hyperthermiainherited disorder, mortality rate high
at risk for malignant hyperthermiabulky strong muscles, muscle cramps, etc
transport from OR to pacuaneshesioligist
hypoxia - 1st signsrestlessness, confusion
what position for shocktrandlenburg
3 methods of wound healingprimary intention, secondary, tertiary
paralytic ileusintestines are paralyzed - absent peristalis
acute gastric dilationtummy becomes distended w/fluid
webberconductive
rhinesensory loss
conductive hearing loss whereexternal or middle ear
sensorineural loss - howtrauma
hearing devicesin the ear, behind ear, body aid
otosclerosisbony overgrowth
menieres"glaucoma of ear" production/absorption
ototoxicityneg side effects of meds
otitis mediainfection IN ear



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