A fever on day 1 post op is usually what?
Fever associated with the trauma of surgery
What are some causes of post abdo operation vomiting?
Ileus (lack of bowel propulsion)
Small bowel obstruction
Ischaemic or infarcted bowel
What can you do if a patient is anuric?
Check for blocked catheter
Assess for hypovolemia
Give a fluid challenge
What is gelofusine?
A plasma expander given for volume loss
What are some causes of post operative confusion?
Metabolic eg uraemia, hyponatraemia, hypo/hyper glycaemia
A fever on day 3 is usually what?
Atalectasis causing low grade lung infection
What is wound dehiscence?
Surgical complication in which the wound ruptures along a line of sutures
Where does the tip of the catheter lie with picc lines?
Basilic into the SVC
When do you usually remove staples or sutures?
1-2 weeks post op
What might you consider if there is excessive fluid output for a drain?
How do you judge fluid balance?
JVP, HR, BP
Where is a central venous cannula inserted?
Internal jugular vein or subclavian vein
What is the WHO analgesia ladder?
Paracetamol < Paracetamol + codeine < Endone < Morphine
What is the ideal urine output post operatively?
When is it normal to remove surgical drains?
In for 5 days
What occurs to fluid balance when a patient is mobilised post surgery?
Fluid moves from the interstitium to the intravascular space
What is Jackson-Pratt surgical drain?
Suction drain created with a grenade looking plastic bellow
Why is there less infection risk with infusaports?
It's buried under the skin
What do you check for on post operative ward rounds?
Surgical wound sight