Pre/Post-Op Care

Question 1

Typical Adult Maintenance Fluid

Answer 1

D5- 1/2 NS + 20KCl

Question 2

Typical Maintenance Fluid Kid < 2

Answer 2

D5 - 1/4 NS + 20KCl

Question 3

Typical Maintenance Fluid Kid > 2

Answer 3

D5- 1/2 NS + 20KCl

Question 4

Fe NA Equation

Answer 4

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

Question 5

Fe Na Pre-Renal

Answer 5

< 1%

Question 6

Pre Renal (BUN / Cr)

Answer 6

Greater than 20

Question 7

Normal Urine Output Adult

Answer 7

0.5 mL / Kg / Hr

Question 8

Normal Urine Output Child

Answer 8

1-2 mL / Kg / Hr

Question 9

Quick Maintenance Fluid Rate.

Answer 9

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

Question 10

How do you bolus the hypovolemic patient

Answer 10

NS or LR

Question 11

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

Answer 11

2 hours

Question 12

How long should you avoid formula?

Breast milk?

Answer 12

4 hours

6 hours

Question 13

How long should a patient fast from eating a meal ?

Answer 13

8 hours

Question 14

Who needs an EKG pre-op ?

Answer 14

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

Question 15

Parkland Formula

Answer 15

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.

Question 16

Oxygenation and ventilatory compromise requiring intubation (burn critical care)

Answer 16

Pa O2 < 60

Pa CO2 > 50

Question 17

Toxic level of lidocaine with epinephrine

without epi

Answer 17

7mg/kg

4mg/kg

Question 18

Pressure sore which extends to but does not penetrate fascia

Answer 18

Stage 3

Question 19

Superficial ulceration which does not extend to the fascia

Answer 19

Stage 2

Question 20

Nutrition goals in pressure ulcer patients

Answer 20

Albumin > 3.0 and Prealbumin > 18

Question 21

Initial management for stage 2 ulcer ?

Answer 21

No debriedment, dressing such as a duoderm or hydrocolloid

Question 22

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

Answer 22

Unasyn 1.5g q6hr

or

Clinda 600mg q6hr + Levofloxacin 500mg daily

Question 23

Oral antibiotics for a human bite

Answer 23

Augmentin 875/125 BID for 10 days

Question 24

Dog bite Antiobiotics

Answer 24

Augmentin 875/125 BID for 10 days

OR

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