Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medicine > Perioperative Care > Flashcards

Perioperative Care Flashcards

1
Q

What do you do with Clopidogrel prior to surgery?

A

Stop 7 days before surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do you do with Aspirin before surgery?

A

Continue as benefits outweigh risks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do you do with beta blockers before surgery?

A

Continue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What do you do with oral hypoglycaemics before surgery?

A

Stop from day of surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do you do with the OCP or HRT before surgery?

A

Due to DVT risk, stop 4 weeks before surgery then resume 2 weeks after surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What do you do with corticosteroids before surgery?

A

Continue as it could lead to Addisonian crisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do you do with Warfarin before surgery?

A

Stop 5 days before surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How can you reverse Warfarin in an emergency?

A

Beriplex (synthetic factors 2,7,9,10)

IV Vit. K

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which drugs are given before surgery?

A

Prophylactic SC LMWH

Prophylactic antibiotics
-Cefuroxime, Metronidazole or Augmentin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which drugs are given post operatively?

A

Opiates +/- laxative if >3days

NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the general triad of anaesthesia?

A

Hypnosis
Analgesia
Muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Give 4 causes of confusion after surgery?

A 
Hypoxia
Drugs (opiates, sedatives etc. )
Urinary retention
MI/Stroke
Infection
Alcohol withdrawal
Liver/renal failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give 4 general post-op complications?

A 
Pyrexia
Confusion
Dyspnoea/hypoxia
Hypo/hypertension
Oliguria
Nausea & Vomitting
Bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the risk factors for a DVT? 4 things

A 
Elderly
Pregnancy
OCP/HRT
Surgery
Past DVT
Obesity
Immobility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name 3 causes of bilateral oedema?

A 
Right heart failure
Low Albumin
Venous insufficiency
Use of vasodilators
Pelvic mass
Pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Give 2 early and 2 late complications of stomas?

A 
Early
Haemorrhage at site
Stoma ischaemia
Obstruction secondary to adhesions
Stoma retraction
Late
Dermatitis around site
Stoma prolapse
Stenosis
Fistulae
Psychological problems
17
Q

Give 3 early and late blood transfusion complications?

A 
Early
Haemolytic reaction
Anaphylaxis
Febrile reaction
Fluid overload

Late
Blood borne infections
Iron overload
Post transfusion purpura

18
Q

Give 2 alternatives to blood transfusion?

A

Intra operative cell salvage

Post op autologous transfusion

19
Q

What are the signs of Shock?

A 
Sinus tachycardia >100
Hypotension 
Oliguria
Cold
Klammy
Slow cap refill
20
Q

Give 4 risk factors of PONV?

A 
Type of surgery (gynae, urological, middle ear etc. )
Female
Previous Hx
Obesity
Anxiety pre-op
Motion sickness
21
Q

How can you prevent DVT during/after surgery?

A

Compression stockings

LMWH

22
Q

Name 4 complications that could arise from an epidural?

A 
Respiratory depression
Hypotension
Epidural haematoma
Epidural catheter migration
Epidural abscess
Urinary retention
N&V

Medicine (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions