Week 4
Power due to other factors, such as personality
What is: implied power
Holism
What is: theory and philosophy that focuses on connections and interactions between parts of the whole. Goal to reduce all phenomena to smallest possible atom, particle, or interaction
Three phases of the perioperative period
Perioperative:
Intraoperative
Postoperative
Insomnia
What is: difficulty falling asleep, intermittent
sleep or difficulty maintaining sleep, despite adequate
opportunity and circumstances to sleep.
Cisplatin use
Advanced bladder cancer; adjunct in metastatic testicular cancer; adjunct in metastatic ovarian cancer, head and neck, lung cancer
What are some desired leadership skills?
Commitment to excellence, respectfulness,trustworthiness, empathy, caring, accessibility
Allopathic medicine
Traditional medical care. Health is absence of disease, and the main cause of illness is pathogens.
Classification of surgical procedures
Urgency: Urgent, emergency, or elective
Risk: minor or major
Purpose: Diagnostic, curative, preventative, reconstructive, transplantation
Sleep-Related Breathing Disorder:
Obstructive Sleep Apnea (OSA)
The absence of breathing [apnea]
o Diminished breathing efforts [hypopnea]
o Respiratory effort-related arousals during sleep,
accompanied by sleepiness, fatigue, insomnia,
snoring
succinylcholine
Neuromuscular blocker, and is used for "Facilitation of endotracheal intubation, skeletal muscle relaxation during orthopedic manipulations"
What is a mentor?
experienced person advises a less experienced person. They provide support, information and network. No financial benefit for the mentor.
Complementary Health Approaches
What is: consists of large variety of therapies based on beliefs of allopathic medicine. Discuss as a group what some examples of CHA
Administration of drugs by inhalation or intravenous route
What is General Anesthesia?
Examples of parasomnias
digoxin
Antidysrhythmic; Heart failure, atrial fibrillation/flutter
Action: Inhibits the sodium-potassium ATPase pump, which makes more calcium available for contractile proteins, thereby resulting in increased cardiac output
What are reasons people might resist change?
what is: threat to self, lack of understanding, disagreement about the benefit of change, fear of increased responsibility
Reiki
What is: Japanese form of energy healing. They use palm healing which a universal energy is transferred through the palms of the practitioner to the patient to encourage emotional or physical healing.
What is: Loss of consciousness, amnesia, analgesia, relaxes skeletal muscle, depressed reflexes
Sleep Cycle
What is: Stages I and II: 5% to 50% of sleep, light sleep
Stages III and IV—10% of sleep, deep-sleep
states (delta sleep)
digoxin side effects
Depression, hypotension, dysrhythmias, blurred vision, N/V/D
How do you overcome resistance to change?
what is: explain the proposed change, provide opportunity for open communication, indicate how the change will be evaluated, and introduce change gradually.
Ginkgo biloba
What is: Herb used to improve memory. Frequently used to dilate cerebral blood vessels and reduce mental confusion. It affects platelet function and is contraindicated with those taking warfarin or aspirin.
Types of regional Anesthesia
CPAP and how it works
noninvasive and consists of a mask connected to an air pump that is worn during sleep. This device delivers positive air pressure that holds the airway open.
Succinylcholine Side Effects
Bradycardia, sinus arrest, prolonged apnea, increased intraocular pressure