Preop/Postop Care Flashcards Preview

Surgery SHELF > Preop/Postop Care > Flashcards

Flashcards in Preop/Postop Care Deck (29):
1

Prohibitive EF for non-cardiac operations

35%

2

Fluid for patient receiving insulin

D5NS

3

How much insulin to administer for diabetic undergoing surgery

1/2 of long-acting

4

When to hold metformin

1 day preop

5

When to hold oral hypoglycemics

day of surgery

6

When to hold SERMs

7 days before surgery

7

When to stop warfarin

5 days preop

8

When to stop anti-platelet agent if low/moderate risk for CV event/CVA

7-10 days

9

Type of shock with decreased SVR

Distributive

10

Which infection? Occurs within 30-45 minutes of procedure

Bacteremia

11

Most common source of fever on post-op day 1

Atelectasis

12

Cause of fever on post-op day 2-3

Pneumonia

13

Cause of fever on post-op day 3

UTI

14

Cause of fever on post-op day 5

Deep Thrombophlebitis

15

Cause of fever on post-op day 7

Wound infection

16

Cause of fever/infection post-op day 10-15

Deep Abscess

17

Diagnosis and Treatment of Deep Thrombophlebitis

Doppler US, Heparin

18

Diagnosis and Treatment of Deep Abscess

CT, radiologic percutaneous drainage

19

Most often time of preoperative MI

2-3 days post-op

20

Most often time of preoperative PE

7 days post-op

21

Catheterization is indicated if there is no spontaneous voiding within __ hours post-op

6

22

Intervention for low urinary output

Fluid challenge with 500ml NS

23

Which diagnosis? paralytic ileum in elderly sedentary patients with abdominal distention and massively dilated colon

Ogilvie Syndrome

24

Treatment of Ogilvie Syndrome

Colonoscopy and rectal tube placement

25

Timing of wound dehiscence

Post-op day 5

26

Treatment of Dehiscence

Secure taping and abdominal binding

27

Treatment of Evisceration

Cover bowel in warm sterile saline dressing, emergency closure

28

Which diagnosis? Patient becomes progressively more difficult to bag during surgery

Tension pneumothorax

29

3 Measures to reduce ventilator-induced lung injury

Low tidal volume, decrease oxygen to 60% within 48-72 hours, PEEP to prevent atelectasis