preoperative care Flashcards
what are the radiological preoperative investigations ?
chest x ray
ECG/Echo
what arre thee risk factors for venous thrombosis ?
pregnancy
obesity
immobility
trauma or surgery
history of thrombosis
what are the NPO rules preoperatively ?
no solids 6 hours before anesthesia
clear fluids only 2 hours before
skin prep - shower with antibacterial soap
what are the NPO rules if the surgery is delayed ?
clear fluids should be allowed until 2 hours before the surgery
what are the two methods of bowel preparations for pre op ?
mechanical - diet, purgatives, enemas
chemical - oral antibiotics (neomycin), IV antibiotics at induction of anesthesia
which type of patients should be put at the beginning of the list for thee operating theatre ?
children and diabetic patients
life and limb threatening operations
cancer patients
what are day or same day surgeries ?
admission and discharge happens within 12 hours
what is outpatient surgery ?
not admitted to a ward facility
what is procedure room surgery ?
surgery not requiring full sterile theatre facilities
what is over night stay surgery ?
23 hour admission with early morning discharge
what is short stay surgery ?
admission of up to 72 hours
what is the optimal analgesia and anesthesia to be use pre op ?
multimodal analgesia with paracetamol and NSAIDS
how long should vital signs be stable for for discharge ?
stable for at least 1 hour
what are the pre operative medications ?
prophylactic antibiotics
narcotic analgesics ( morphine)
anticholinergics (atropine)
sedatives ( diazepam)
