Jovan Shared "medical surgical test 1" - 39 Picmonics
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medical surgical test 1
Aseptic Technique
- Invasive Procedures
- Skin Integrity Broken
- Sterility
- Hands Up for Scrubbing
- Keep Objects in View
- Only Sterile Objects in Field
- Only Sterile Touches Sterile
- Contamination
- Edges of Sterile Field
- If Sterility Questioned
- If Wet or Prolonged Exposure to Air
- Considerations
- Never Leave Sterile Area
- PPE Order
2 mins
Preoperative Care
- Preop Education
- Surgical Procedure
- NPO
- Turn, Cough, Deep Breathe, Incentive Spirometer
- Lower Extremity Exercises
- Compression Stockings or SCD's
- Pain Management
- Safety
- Informed Consent
- Physical Preparation
- Preop Checklist
- Handoff to Surgery
- Universal Precautions
2 mins
Postoperative Care
- Head to Toe Assessment
- Complications
- Hemorrhage
- Clotting
- Pain
- Dehiscence or Evisceration
- Respiratory Complications
- Paralytic Ileus
- Infection
2 mins
Postoperative Fever
- 5 W's
- Wind (Days 1-3)
- Atelectasis
- Pneumonia
- Water (Days 3-5)
- Urinary Tract Infection from Catheter
- Walking (Days 4-6)
- Deep Vein Thrombosis (DVT)
- Pulmonary Embolism
- Wound (Days 5-7)
- Infection
- Wonder Drugs (Days 7+)
- Drugs
2 mins
Wound Drainage Types and Devices
- Drainage Types
- Serous
- Serosanguineous
- Sanguineous
- Purulent
- Drainage Devices
- T-tube
- Penrose
- Jackson-Pratt (JP)
- Hemovac
- Considerations
- Record Drainage Amounts
- Check Device Function
2 mins
Chest Tubes: Management and Care
- Confirm suction order
- Assessment
- Crepitus
- Kinking
- Shortness of Breath (SOB)
- Infection
- Excessive bubbling
- Quick Interventions
- If tube dislodges from patient, use petroleum gauze taped 3 ways
- If drainage system is damaged, place disconnected drainage tube in sterile water
1 min
Types of Fractures
- Nondisplaced
- Displaced
- Incomplete
- Complete
- Closed
- Open
- Direction of Fracture Line
2 mins
Hip Fracture
- Assessment
- External Rotation
- Muscle Spasms
- Shortened Leg
- Pain
- Interventions
- Buck's Traction
- Analgesics
- Surgery
- Considerations
- Avascular Necrosis
1 min
Hip Surgery
- Neurovascular Assessment
- No 90 Degree Hip Flexion
- No Adduction
- No Internal Rotation
- Avoid Turning on Affected Side
- Considerations
- Thromboembolism Prevention
2 mins
Neurovascular Assessment 6 P's
- Pain
- Paresthesia
- Pulse
- Pallor
- Pressure
- Paralysis
1 min
Sizing Crutches
- 3 Finger Widths
- 6 Inches Lateral From Heel
- 30 Degree Flexion
- Tripod Position
1 min
Total Knee Replacement (TKR)
- Indications
- Joint Pain (Uncontrolled)
- Impaired Mobility
- Considerations
- Compression Dressing
- Frequent Neurovascular Assessments
- Continuous Passive Motion (CPM) Devices
- Early Ambulation
- Venous Thromboembolism (VTE) Prophylaxis
- Limit Flexion Positions
- Monitor for Infection
2 mins
Herniated Disc (Nucleus Pulposus)
- Cause/Mechanism
- Spine Trauma
- Natural Degeneration
- Spinal Stenosis
- Assessment
- Pain
- Weakness
- Urinary and Fecal Incontinence
- Interventions
- Brace
- Medications
- Outpatient Procedures
- Surgery
2 mins
Amputation
- Indications
- Trauma
- Peripheral Vascular Disease
- Diabetes Complications
- Considerations
- Gentle Handling
- Surgical Tourniquet at Bedside
- Prevent Contractures
- Frequent Inspection
- Compression Bandages
- Phantom Pain
- Mirror Therapy
2 mins
Osteoarthritis
- Mechanism
- Articular Cartilage Destruction
- Biomechanical Stress
- Aging
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness Under 30 Minutes
- Crepitus
- DIP and PIP Joints
- Treatment
- Lifestyle Changes
- Acetaminophen or NSAIDs
2 mins
Osteoarthritis Assessment
- Mechanism
- Aging
- Articular Cartilage Destruction
- Biomechanical Stress
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness under 30 Minutes
- Crepitus
- DIP and PIP Joints
1 min
Osteoarthritis Interventions
- Lifestyle Modifications
- Balance Rest and Activity
- Therapeutic Exercise
- Heat and Cold Applications
- Drug Therapy
- Intra-articular Injection
- NSAIDs
- Considerations
- Reconstructive Joint Surgery
1 min
Rheumatoid Arthritis Assessment
- Mechanism
- Destruction of Connective Tissue and Synovial Membrane
- Signs and Symptoms
- Inflammation of Joints
- Morning Stiffness
- Nodules
- Joint Deformities
1 min
Rheumatoid Arthritis Interventions
- Lifestyle Modifications
- Heat and Cold Applications
- Therapeutic Exercise
- Balance Rest and Activity
- Drug Therapy
- NSAIDs
- DMARDs
- Glucocorticoids
- Considerations
- PT/OT
- Reconstructive Joint Surgery
2 mins
Osteoporosis Assessment
- Highest Risk
- Postmenopausal Women
- Long Term Corticosteroids
- Assessment
- Kyphosis
- Dowager's Hump
- Loss of Height
- Back Pain
- Pathologic Fractures
- Spinal Compression Fracture
1 min
