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Hugh's MD2 Foundation > Post Operative Care > Flashcards

Flashcards in Post Operative Care Deck (19):
1

A fever on day 1 post op is usually what?

Drug fever

Fever associated with the trauma of surgery

2

What are some causes of post abdo operation vomiting?

Ileus (lack of bowel propulsion)

Small bowel obstruction

Ischaemic or infarcted bowel

Gastric dilatation

Drugs 

3

What can you do if a patient is anuric?

Check for blocked catheter

Assess for hypovolemia

?Bleed

Give a fluid challenge

4

What is gelofusine?

A plasma expander given for volume loss

Colloid fluid

5

What are some causes of post operative confusion?

Hypoxia

Sepsis

Drugs

DVTs

Metabolic eg uraemia, hyponatraemia, hypo/hyper glycaemia

Substance withdrawal

6

A fever on day 3 is usually what?

Atalectasis causing low grade lung infection

7

What is wound dehiscence?

Surgical complication in which the wound ruptures along a line of sutures

8

Where does the tip of the catheter lie with picc lines?

Basilic into the SVC

9

When do you usually remove staples or sutures?

1-2 weeks post op

10

What might you consider if there is excessive fluid output for a drain?

Irrigation fluid

Ascites

Urine

Pancreatic fistula

Bile leak 

Lymph leak

 

11

How do you judge fluid balance?

Urine output

JVP, HR, BP

12

Where is a central venous cannula inserted?

Internal jugular vein or subclavian vein

13

What is the WHO analgesia ladder?

Paracetamol < Paracetamol + codeine < Endone < Morphine

14

What is the ideal urine output post operatively?

>30ml/hour

1-2ml/kg/hour

15

When is it normal to remove surgical drains?

In for 5 days

16

What occurs to fluid balance when a patient is mobilised post surgery?

Fluid moves from the interstitium to the intravascular space

17

What is Jackson-Pratt surgical drain?

Suction drain created with a grenade looking plastic bellow

18

Why is there less infection risk with infusaports?

It's buried under the skin

19

What do you check for on post operative ward rounds?

Vitals signs

Fluid balance

Drain output

Surgical wound sight