CAPA
CAPA
Study online at https://quizlet.com/_jti1x7
1. Oxyhemoglobin Right shift
Curve Release O2: hypermetabolic states
Left shift
Latch onto O2: hypothermia, alkalosis, decreased 2,3 DPG, MTP
2. obesity desatura- obese patient with obstructive sleep apnea has reduced pharyngeal muscle tone
tion think... which is exaggerated because of drug-induced relaxation of these muscles. Obe-
sity increases the work of breathing because of an increase in the elastic work and
decreased efficiency of the respiratory muscles. These patients produce more CO2
and require more supplemental O2. Functional reserve capacity is compromised
in the obese patient and must be considered when providing postanesthesia care.
3. ileal conduit vs An ileal conduit is created by a procedure that allows urine to exit the body through
ileostomy a piece of intestine. An ileostomy is often created as treatment for inflammatory
bowel disease such as Crohn's disease and ulcerative colitis.
4. positioning for Stomach surgeries such as pyloroplasty, gastric resection, gastrectomy, etc. can be
stomach proce- performed either open or laparoscopically. To relieve tension on the abdominal
dures suture line, to prevent aspiration, and to promote drainage, patients should be
positioned in a semi-fowler position.
5. chest tube para- If a pneumothorax is greater than 20%, the lung should be re-expanded with a
meters chest tube.
6. preeclamsia Preeclampsia is typically diagnosed after 20 weeks, SBP e140 mm Hg or DBP e90
mm Hg and proteinuria. Signs of severe preeclampsia are diagnosed when one or
more of the following are present: two different readings of SBP e160 mm Hg or
DBP e110, at least 4 hours apart; thrombocytopenia (less than 100,000 platelets per
μl); renal insufficiency; impaired liver function; pulmonary edema; or headaches
unresponsive to medication, and not related to another diagnosis.
7.
1
, CAPA
CAPA
Study online at https://quizlet.com/_jti1x7
hydrocele and A hydrocele is the collection of fluid within the scrotal sac, which may compromise
varicocele testicular blood supply. Torsion of the testis is the strangulation of the testicular
blood supply, usually caused by trauma, resulting in extreme pain, and requiring
immediate surgery. In a varicocele, the veins of the spermatic cord become en-
gorged because of venous backflow. This is often painful and, if uncorrected, can
affect fertility. A spermatocele is an intrascrotal cystic mass caused by obstruction
of the sperm-carrying tubular system.
8. AP repair A cystocele is a herniation of the bladder that causes the anterior vaginal wall
to bulge downward. A rectocele is formed by protrusion of the anterior rectal
wall (posterior vaginal wall) into the vagina. An enterocele is a herniation of
the cul-de-sac of Douglas, containing loops of small intestine. A urethrocele is a
pouchlike protrusion of the urethral wall.
9. stress inconti- A variety of physiological causes include bladder protrusion, childbirth, obesity,
nence reasons vesicovaginal fistula, and bladder instability.
10. wound eviscera- When the wound shows signs of evisceration (e.g., contents of the body protruding
tion from the original incision), surgical closure is required. To prevent exposure and
infection, the wound should be covered with a sterile saline dressing.
C
11. methergine and Methergine is given to treat or prevent postpartum hemorrhage, including after
hemobate dilation and evacuation for incomplete abortion. Contraindications include hyper-
sensitivity, hypertension, preeclampsia, and cardiovascular disease. hemobate is
contraindicated in asthma patients
12. liver biopsy posi- The patient should remain positioned on the right side for at least 2 hours. BIG
tioning BLEEDING RISK WHENEVER THE LIVER IS INVOLVED
13. Roux-en-Y The Roux-en-Y procedure involves restriction and limiting the volume of food intake
by removing part of the stomach. It is also malabsorptive because of connecting
2
CAPA
Study online at https://quizlet.com/_jti1x7
1. Oxyhemoglobin Right shift
Curve Release O2: hypermetabolic states
Left shift
Latch onto O2: hypothermia, alkalosis, decreased 2,3 DPG, MTP
2. obesity desatura- obese patient with obstructive sleep apnea has reduced pharyngeal muscle tone
tion think... which is exaggerated because of drug-induced relaxation of these muscles. Obe-
sity increases the work of breathing because of an increase in the elastic work and
decreased efficiency of the respiratory muscles. These patients produce more CO2
and require more supplemental O2. Functional reserve capacity is compromised
in the obese patient and must be considered when providing postanesthesia care.
3. ileal conduit vs An ileal conduit is created by a procedure that allows urine to exit the body through
ileostomy a piece of intestine. An ileostomy is often created as treatment for inflammatory
bowel disease such as Crohn's disease and ulcerative colitis.
4. positioning for Stomach surgeries such as pyloroplasty, gastric resection, gastrectomy, etc. can be
stomach proce- performed either open or laparoscopically. To relieve tension on the abdominal
dures suture line, to prevent aspiration, and to promote drainage, patients should be
positioned in a semi-fowler position.
5. chest tube para- If a pneumothorax is greater than 20%, the lung should be re-expanded with a
meters chest tube.
6. preeclamsia Preeclampsia is typically diagnosed after 20 weeks, SBP e140 mm Hg or DBP e90
mm Hg and proteinuria. Signs of severe preeclampsia are diagnosed when one or
more of the following are present: two different readings of SBP e160 mm Hg or
DBP e110, at least 4 hours apart; thrombocytopenia (less than 100,000 platelets per
μl); renal insufficiency; impaired liver function; pulmonary edema; or headaches
unresponsive to medication, and not related to another diagnosis.
7.
1
, CAPA
CAPA
Study online at https://quizlet.com/_jti1x7
hydrocele and A hydrocele is the collection of fluid within the scrotal sac, which may compromise
varicocele testicular blood supply. Torsion of the testis is the strangulation of the testicular
blood supply, usually caused by trauma, resulting in extreme pain, and requiring
immediate surgery. In a varicocele, the veins of the spermatic cord become en-
gorged because of venous backflow. This is often painful and, if uncorrected, can
affect fertility. A spermatocele is an intrascrotal cystic mass caused by obstruction
of the sperm-carrying tubular system.
8. AP repair A cystocele is a herniation of the bladder that causes the anterior vaginal wall
to bulge downward. A rectocele is formed by protrusion of the anterior rectal
wall (posterior vaginal wall) into the vagina. An enterocele is a herniation of
the cul-de-sac of Douglas, containing loops of small intestine. A urethrocele is a
pouchlike protrusion of the urethral wall.
9. stress inconti- A variety of physiological causes include bladder protrusion, childbirth, obesity,
nence reasons vesicovaginal fistula, and bladder instability.
10. wound eviscera- When the wound shows signs of evisceration (e.g., contents of the body protruding
tion from the original incision), surgical closure is required. To prevent exposure and
infection, the wound should be covered with a sterile saline dressing.
C
11. methergine and Methergine is given to treat or prevent postpartum hemorrhage, including after
hemobate dilation and evacuation for incomplete abortion. Contraindications include hyper-
sensitivity, hypertension, preeclampsia, and cardiovascular disease. hemobate is
contraindicated in asthma patients
12. liver biopsy posi- The patient should remain positioned on the right side for at least 2 hours. BIG
tioning BLEEDING RISK WHENEVER THE LIVER IS INVOLVED
13. Roux-en-Y The Roux-en-Y procedure involves restriction and limiting the volume of food intake
by removing part of the stomach. It is also malabsorptive because of connecting
2
