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Flashcards in Preop care Deck (20):
1

what are 4 key questions for before surgery

1. reccomendation
2. what are all the options
3. risk/bene of each option
4. if PT decides to have surg., how will proceed

2

3 key points to consent

1. optiions
2. risks
3. benefits

3

4 major opertive risks in most surgeries

1. SSinfections
2. DVT
3. blood transfusions
4. CAD evaluation

4

most infectied surgeries

colorectal

5

presentation of infection

erthyma, pain, swelling

6

5 keys to prevent SSI

1. timely and approprate AB
2. normothermia
3. hair removal method
4. FiO2
5. skin prep solution

7

key points with AB

in the OR within 60min of incision
- redose q4-8hrs

8

key to normthermia and how to

- maintain temp >36
- warming blankets pre-op
- increase OR temp
- bear hugger
IV fluid warmer

9

outcomes from warmth (3)

1. less SSI
2. less collagen dep
3. less time to eat

10

best way to remove hair

clippers right before surg

11

best skin prep

chlorhexidine

12

most common cause of death post op

- DVT - 15-30% without prophylaxis

13

2 types and SE

1. DVT -
- swelling, pain
2. PE
- SOB, tachy, febrile, decreased o2

14

risk factors for DVT

- type and length of surg
- CA
- age
- immobolity
- trauma
- peggers

15

best choice to prevent DVT

Low mol heparin
- once daily

16

3 risks of infusions

1. HIV
2. hep C
3. transfusion reactions

17

3 ways to prevent transfusion probs

1. autologous transfers (rare)
2. pre-op iron - oral or IV
3. pre-op EPO

18

diet pre-op

NPO at midnight
- no fluid 2 hours

19

3 things for all patients getting abdo surg

1. CXR
2. ECG
3. review for modifiable CAD

20

use of bowel prep for surg

not needed

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