Pre/Post-Op Care Flashcards
(24 cards)
Typical Adult Maintenance Fluid
D5- 1/2 NS + 20KCl
Typical Maintenance Fluid Kid < 2
D5 - 1/4 NS + 20KCl
Typical Maintenance Fluid Kid > 2
D5- 1/2 NS + 20KCl
Fe NA Equation
[Urine Na x Plasma Cr] / [Plasma Na x Urine Cr]
Fe Na Pre-Renal
< 1%
Pre Renal (BUN / Cr)
Greater than 20
Normal Urine Output Adult
0.5 mL / Kg / Hr
Normal Urine Output Child
1-2 mL / Kg / Hr
Quick Maintenance Fluid Rate.
[20 kg = 60 mL/ Hr] + 1 mL / kg for every kg over 20
How do you bolus the hypovolemic patient
NS or LR
How long should a patient avoid clear liquids prior to surgery ?
2 hours
How long should you avoid formula?
Breast milk?
4 hours
6 hours
How long should a patient fast from eating a meal ?
8 hours
Who needs an EKG pre-op ?
Anyone with PVD, CAD, Cerebrovascular disease, undergoing intermediate or high risk surgery
Parkland Formula
4 x Wt (kg) x % TBSA = Fluid in 24 hours.
-First 1/2 given in first 8 hours and the second half over the 16 hours.
Oxygenation and ventilatory compromise requiring intubation (burn critical care)
Pa O2 < 60
Pa CO2 > 50
Toxic level of lidocaine with epinephrine
without epi
7mg/kg
4mg/kg
Pressure sore which extends to but does not penetrate fascia
Stage 3
Superficial ulceration which does not extend to the fascia
Stage 2
Nutrition goals in pressure ulcer patients
Albumin > 3.0 and Prealbumin > 18
Initial management for stage 2 ulcer ?
No debriedment, dressing such as a duoderm or hydrocolloid
You are called for a human bite in the ED, what are initial antibiotics
Unasyn 1.5g q6hr
or
Clinda 600mg q6hr + Levofloxacin 500mg daily
Oral antibiotics for a human bite
Augmentin 875/125 BID for 10 days
Dog bite Antiobiotics
Augmentin 875/125 BID for 10 days
OR
Unasyn 1.5g IV q6hr OR Clinda 450mg QID + Bactrim DS BID for 10 days.
