Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin Med II > Surgery > Flashcards

Surgery Flashcards

1
Q

Pre op work

A

HP

admit

Pre op

Post

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rounding needs to be documented how

A

SOAP note

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Important parts of the post op orders

A 
→ Ambulation
→ I/O, body weight
→ meds
→ CBC, CMP
→CXR after chest procedures
→ UA with cath
→ wound care
→ alarm criteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A D C

A

Admit: room, attending dr

Dx for admission

Condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

VAN

A

Vitals

Activity

Nursing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

D I I

A

Diet

I/O

IV fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

M A L

A

Meds

allergies

Labs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

important parts of emergency admission

A

NPO

No pain meds until you know if they are surgical

Fluids

ABx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why aren’t Abx used in clean proceedures

A

the risk outweighs the benefit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when should ABx be used in a surgical pat

A

Implants (valves, joints)

GI/GU/Biliary

trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is considered a clean procedure and doesn’t need abx

A

elective, non-trauma, not GI/GU/biliary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

General principles of ABx prophalyxis

A

Use abx against cultured or anticipated agents

only use them if needed

give them the correct dose

stop using them appropriately

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SCIP 1

A

pre op abx 1 hr before incision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SCIP 2

A

Use the SCIP recc abx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SCIP 3

A

Abx must stop within 24 hours of anesthesia end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SCIP 4

A

6am serum glucose <200 post op days 1 and 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

SCIP 5

A

no or appropriate hair removal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

SCIP 6

A

immediate post op normothermia 15 minutes after endtime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the most common ABx for surgert

A

ancef

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when should ancef be given pre op

A

1 hours before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how often should ancef be redosed

A

3-4 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

when might you need to redose ancef sooner

A

when the patient has been given lots of fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the only muscle the is divided against the grain

A

rectus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

advantages of incisions

A

fast, good visual, flexibility

25
Q

benefits of transverse abdominal incision

A

less dehisence and herniation risk

26
Q

risks of a transverse abdominal incision

A

less flexible

need to cut vessels

27
Q

benefits of a vertical abdominal incision

A

good exposure

can extend

fewer vessels cut

28
Q

disadvantages of a vertical abdominal incison

A

needs more tension to close

produces a bigger car

29
Q

subcostal incisions are good for what

A

upper abdominal organs

30
Q

pffanestiel incisions are used in what

A

GYN

31
Q

why are paramedian incisions bad

A

time consuming

nerves get cut

weak closure

32
Q

contraindications for laproscopy

A

adhesions, pregnant, general anesthesia restrictions

33
Q

what is the most common acute abdominal surgery

A

appy

34
Q

is a non-perforated appy in or out patient

A

out

35
Q

post op abx for a perf appy

A

1-2 days IV abx

7-10 days oral

36
Q

what is the most common abdominal surgery

A

gallbladder

37
Q

big risk when doing a cholecystecomty

A

hitting the common bile duct

38
Q

what structures need to be clipped and ligated in a cholecystectomy

A

cystic duct and cystic artery

39
Q

where is the cystic artery found

A

in calots triangle

40
Q

describe calots triangle

A

inferior: cystic duct
superior: liver
medial: common hepatic duct

41
Q

what is the difference between a direct and indirect hernia

A

direct is through the abdominal wall, indirect is through a patent process vaginalis

42
Q

typical ways a hernia is repaired

A

lichtenstein or plug

43
Q

What is a nissen fundoplication

A

wrapping the stomach around the the distal esophagus to treat GERD

44
Q

what artery is a greatest risk during a nissen

A

splenic artery

45
Q

post op care for nissen

A

overnight stay, dietary restriction for two weeks

46
Q

SS that would lead to a small bowel resection caused by ischemia or adhesion

A

pain

leukocytosis

free air

47
Q

typical hospital stay for small bowel resection

A

5-7 days

48
Q

what is the most accurate tool to dx colon pathology

A

colonscopy

49
Q

prep and anesthesia for colonscopy

A

bowel prep and conscious sedation

50
Q

conditions that might indicate need for a colectomy

A

diverticulitis/losis

cancer

volvulus

UC

51
Q

how should skin be closed for a colectomy with infection

A

loosely closed to allow for drainage

52
Q

a large bowel obstruction is almost always what

A

colon cancer

53
Q

what determines how much colon is taken out during a colectomy

A

lymphatics

54
Q

when is an ex lap used

A

to look for cause of abdominal pain when other causes have been ruled out

55
Q

what is the most common finding in an ex lap

A

adhesions

56
Q

what is the length to width ratio for an eliptical incision

A

4:1

57
Q

a lipoma removal will need what type of incision

A

linear

58
Q

how to calculate maintenance fluids

A

40mL/hr for the first 10kg

20mL/hr for the second

1mL/hr for each kg over 20kg

Clin Med II (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions