Post-Op Care Flashcards Preview

Jason's MD2 Core Conditions > Post-Op Care > Flashcards

Flashcards in Post-Op Care Deck (20)
1

if decreased intake for post op nutrition, how to treat? 3 ways

High calorie and protein drinks
nasogastric feeding
total parenteral nutrition

2

usual urine output is?

1/2mL/kg/Hr

3

Day 1 post op why not give extra fluids?

increased ADH from surgery/trauma

4

what happens to fluid usually day 2 post-op?

shifts from interstititum into intravascular so you decrease IV fluid rate in anticipation

5

if anuria post-op, check what 3 things?

blocked IDC
hypovolaemia
any bleeding?

6

when want patient mobilised?

post-op day 2

7

2 types of VT prophylaxis?

mechanical
chemical

8

what does strength of wound rely on?

closure of underlying fascia

9

remove sutures at what dates for following body parts?
Face
Neck
Back/leg
Abdo

Face: 5-7 days
Neck: 7 days
Back/leg: 2 weeks
Abdo: 10-14

10

how does deep wound dehiscence happen?

dehiscence of fascial layer

11

Drain removal consider 2 things:

contents
amount

12

what do the following drains do?
T-Tube
Intercostal catheter
External ventricular drain

T-Tube: post bile dut exploration
Intercostal catheter: fluid or air from pleura/thorax
External ventricular drain: hydrocephalus

13

4 causes of post-op confusion:

hypoxia
sepsis
meds
metabolic

14

fever in first 48 hours post op bad?

normal

15

what could cause fever 5-10 days post op?

abscess

16

what is a PICC line for?

peripherally inserted central line:
for longer term IV access (weeks)

17

what kind of line if you give total parental nutrition?

central venous catheter directly into IJV or subcalvian vein

18

where to insert a Vascath for haemodialysis?

internal jugular or femoral
(NOT the subclavian!)

19

what is a Permcath for?

long term haemodialysis

20

what is infusaport/portocath for? access to?

chemo
access to SVC