Thoracic Surgery / Post Op Care

25 cards

Thoracic and Post Op Care


 
  
Created Feb 20, 2011
by
megan89

 

 
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1
Important characteristics of patient ventilation
 
Expansion..Perfusion..Rate..Rise and Fall of Lungs
2
Normal Body Temperature.  Higher or Lower?
 
96 to 99.9.  Higher: Hyperthermic.  Lower:  Hypothermic
3
How do you monitor cardiac output?
 
Monitors..Blood cuff..Pulseox..Skin Color..Capillary Return..Stethoscope..
4
Instrument used to grasp lung
 
Duvall clamp
5
Which is examined first: Neurological status or Level of consciousness?
 
LOC
6
Cause of hypotension
 
Volume Loss, Dehydration
7
Cause of hypertension.
 
Caused by anesthesia; not septic (not immediately)
8
BradycardiaNormal CO
 
Lower than 60120/75
9
TachycardiaNormal CO
 
Higher than 100120/75
10
Assess for regional block
 
Sensation (movement of toes)
11
Levels of sternum
 
Top: ManubriumMiddle: GladiolusBottom: Xyphoid process
12
Intercostal muscles
 
Intrinsic (11), Extrinsic (11)
13
Function of pulmonary artery? Pulmonary vein?
 
Artery: De-oxygenated blood from right ventricle to lungsVein:  Oxygenated blood from...
14
Membranes that make up pleural cavity
 
Parietal: lines thoracic cavityVisceral: surrounds lungs
15
Function of negative pressure
 
Positive pressure causes lung to collapse.  No air in lungs.  
16
Normal negative lung pressure
 
Inspiration: -9 to -12Exspiration: -3 to -6
17
Where does the gas exchange take place in the lungs?
 
Alveolar process
18
What kind of action does a sternal saw have?
 
Reciprocating
19
What is the purpose of a mediastinoscopy?
 
Biopsy nodules of chest
20
What degree scope do you use for a thoracoscopy?
 
0 or 30 degree
21
What is a pneumonectomy?
 
Removal of entire lung; usually for cancer
22
How to ligate pulomnary artery and vein?
 
4 suture; Intercostal: 2 Vicryl
23
How to treat leaks of a wedge resection
 
GIA green, Chromic suture, Seam strips, Peri strips
24
T/F  A chest tube is placed after a pneumonectomy
 
False
25
Purpose of irrigation onto lungs
 
Check for leaks

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