Pre/Post-Op Care Flashcards Preview

PGY-2 Bootcamp > Pre/Post-Op Care > Flashcards

Flashcards in Pre/Post-Op Care Deck (24)
Loading flashcards...
1
Q

Typical Adult Maintenance Fluid

A

D5- 1/2 NS + 20KCl

2
Q

Typical Maintenance Fluid Kid < 2

A

D5 - 1/4 NS + 20KCl

3
Q

Typical Maintenance Fluid Kid > 2

A

D5- 1/2 NS + 20KCl

4
Q

Fe NA Equation

A

[Urine Na x Plasma Cr] / [Plasma Na x Urine Cr]

5
Q

Fe Na Pre-Renal

A

< 1%

6
Q

Pre Renal (BUN / Cr)

A

Greater than 20

7
Q

Normal Urine Output Adult

A

0.5 mL / Kg / Hr

8
Q

Normal Urine Output Child

A

1-2 mL / Kg / Hr

9
Q

Quick Maintenance Fluid Rate.

A

[20 kg = 60 mL/ Hr] + 1 mL / kg for every kg over 20

10
Q

How do you bolus the hypovolemic patient

A

NS or LR

11
Q

How long should a patient avoid clear liquids prior to surgery ?

A

2 hours

12
Q

How long should you avoid formula?

Breast milk?

A

4 hours

6 hours

13
Q

How long should a patient fast from eating a meal ?

A

8 hours

14
Q

Who needs an EKG pre-op ?

A

Anyone with PVD, CAD, Cerebrovascular disease, undergoing intermediate or high risk surgery

15
Q

Parkland Formula

A

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.

16
Q

Oxygenation and ventilatory compromise requiring intubation (burn critical care)

A

Pa O2 < 60

Pa CO2 > 50

17
Q

Toxic level of lidocaine with epinephrine

without epi

A

7mg/kg

4mg/kg

18
Q

Pressure sore which extends to but does not penetrate fascia

A

Stage 3

19
Q

Superficial ulceration which does not extend to the fascia

A

Stage 2

20
Q

Nutrition goals in pressure ulcer patients

A

Albumin > 3.0 and Prealbumin > 18

21
Q

Initial management for stage 2 ulcer ?

A

No debriedment, dressing such as a duoderm or hydrocolloid

22
Q

You are called for a human bite in the ED, what are initial antibiotics

A

Unasyn 1.5g q6hr

or

Clinda 600mg q6hr + Levofloxacin 500mg daily

23
Q

Oral antibiotics for a human bite

A

Augmentin 875/125 BID for 10 days

24
Q

Dog bite Antiobiotics

A

Augmentin 875/125 BID for 10 days

OR

Unasyn 1.5g IV q6hr OR Clinda 450mg QID + Bactrim DS BID for 10 days.