Malignant hyperthermia - A hereditary autosomal dominant condition of uncontrolled heat
production that occurs when susceptible people receive certain anesthetic drugs. An uncontrolled
increase in skeletal muscle oxidative metabolism, Ca++ goes up, can overwhelm the body's capacity to
supply O2,...
CF Nursing Level 2 Exam 1 Vocabulary
Malignant hyperthermia - A hereditary autosomal dominant condition of uncontrolled heat
production that occurs when susceptible people receive certain anesthetic drugs. An uncontrolled
increase in skeletal muscle oxidative metabolism, Ca++ goes up, can overwhelm the body's capacity to
supply O2, remove carbon dioxide-hypercapnia & regulate body temp. 70% mortality rate, by the time
you see a rise in temp it's too late. Main offenders: inhalation anesthetics and succinylcholine.
bariatric - having to do with patients who are significantly overweight or obese. relating to obesity
term derives from two Greek words meaning "weight" & "treatment"
Informed Consent - the patient's autonomous decision whether to undergo a surgical procedure,
based on the nature of the condition, the treatment options, and the risks & benefits involved. The nurse
can witness the signature. Violation = battery
Intraoperative phase - the period of time from when the patient is transferred to the operating
room to the admission to postanesthesia care unit (PACU)
minimally invasive surgery - surgical procedures that use specialized instruments inserted into the
body either through natural orifices or through small incisions
perioperative phase - period of time that constitutes the surgical experience; includes the
preoperative, intraoperative, and postoperative phases of nursing care
postoperative phase - period of time that begins with the admission of the patient to the
postanesthesia care unit and ends after follow-up evaluation in the clinical setting or home
preadmission testing - diagnostic testing performed before admission to the hospital
preoperative phase - period of time from when the decision for surgical intervention is made to
when the patient is transferred to the operating room table
, emergent surgery - requires immediate attention; disorder may be life-threatening; without delay.
ex: severe bleeding, bladder or intestinal obstruction, gunshot, stab, extensive burns
urgent surgery - surgery that is not an emergency, but must be done within a reasonably short
time frame to preserve health. Within 24-30 hrs
Required surgery - patient needs to have surgery, planned within a few weeks or months, ex:
cataracts, thyroid disorders, prostatic hyperplasia w/out bladder obstruction
elective surgery - surgery that is not emergency or mandatory and can be planned at the patients
convenience. Failure to have surgery is not catastrophic. Ex: repair scars, simple hernia, vaginal repair
optional surgery - Personal Preference/Cosmetic
anesthesia - a state of narcosis or severe central nervous system depression produced by
pharmacologic agents
anesthetic agent - the substance, such as a chemical or gas, used to induce anesthesia
ambulatory surgery - includes outpatient, same-day, or short-stay surgery that does not require an
overnight hospital stay, provide verbal & written instructions before going home
Circulating Nurse - RN who coordinates and documents patient care in the OR. This nurse is not in
the sterile field. Gets samples to the lab. Responsible for monitoring the surgical team. Patient Advocate
laparoscope (laparoscopy-looking into the abdominal cavity)(arthroscopy=looking into the joint) -
a thin endoscope inserted thru a small incision into a cavity or joint using fiber-optic technology to
project live images of structures onto a video monitor; other small incisions allow additional instruments
to be inserted to facilitate surgery
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