NURS 3664 Lecture Notes - Lecture 3: Mammaplasty, Colostomy, Appendectomy
Document Summary
The art and science of treating diseases, injuries, and deformities by operation and. Ostomy = creation of opening into (colostomy) Otomy = cutting into or incision of (tracheotomy) Plasty = repair or reconstruction of (mammoplasty) Check documented information before interview (avoids repetition) Obtain health information, including drug and food allergies. Establish baseline data for comparison intraoperative and postoperative. Identify drugs, otc medications, and herbs that may affect surgical outcome. Identify cultural and ethnic factors that may affect surgical experience. Determine receipt of adequate information from surgeon to sign informed consent and. Sleep problems that consent is signed and witnessed impair cognition. Old rule = npo after 12 midnight. Light meal (toast, clear liquids) 6 hours. Follow the institutional policy and medical orders. Nutritional status plays important role in determining outcome after surgery! Provide extra padding to underweight patients to prevent pressure ulcers. Identify dietary habits that may affect recovery (e. g. , caffeine) Increased risk of wound dehiscence, infection, and incisional hernia.
