Post Op complications Flashcards
what is mild pyrexia in first 48h usually due to
atelectasis, tissue damage/necrosis, blood transfusions.
investigations in pyrexia
FBC, U&E, CRP, cultures, urine dipstick, MSU, CXR, US
looking for infection in pyrexia
check for signs of peritonism, chest infection, UTI, wound infection, cannula site erythema, meningism, endocarditis
antidote to lorazepam
flumazenil
if severe drop in BP what can do
tilt the bed head down and give O2, check fluid chart and replace losses
what is hypotension due to
hypovolaemia due to inadequate fluid input, and haemorrhage
causes of hypertension
pain, urinary retention, idiopathic HTN, inotropic drugs
should oral cardiac meds be continued throughout periop care
yes even if NBM
what should we aim for urine output
> 30ml
what is anuria due to
blocked or malsited catheter
what is oliguria due to
too little replacement of lost fluid
what should you check is N+V
any mechanical obstruction, ileus, emetic drugs
what drugs can be emetic
opioids, digoxin, anaesthetics
what are the complications of an operation
from the anaesthetic- resp depression, from surgery in general- wound infection, haemorrhage, neurovascular damage, DVT/PE; from the specific procedure
what is the warning sign of wound dehiscence
pink serous discharge
