Surgery - general Flashcards
1
Q
Name 2 absolute contraindications for laparoscopic surgery
A
- Haemodynamic instability
- Acute intestinal obstruction with dilated bowel loops
- Uncorrected coagulopathy
- Raised ICP
2
Q
Patients can drink clear fluid up to how before surgery?
A
2 hrs
3
Q
Patients are generally advised to fast from non-clear liquids/food for at least how long before surgery?
A
6hrs
4
Q
How long pre-op does the COCP need to be stopped for?
A
4 weeks
5
Q
Name an absolute contraindication for laparoscopic surgery
A
- Haemodynamic shock or instability
- Raised ICP
- Uncorrected coagulopathy
- Acute intestinal obstruction with dilated bowel loops
6
Q
What is the standard pre-surgical management of a patients taking prednisolone?
A
Stop prednisolone and give 50-100mg IV hydrocortisone
7
Q
If a patient is about to undergo a minor surgery, pred can be restarted straight away. If it’s a major surgery, how long might patients need to take IV hydrocortisone for?
A
72 hrs post surgery
8
Q
What is the commonest finding on a blood test post surgery?
A
Neutrophilia
