Surgery of the GI tract and complications Flashcards Preview

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Flashcards in Surgery of the GI tract and complications Deck (10):
1

GI surgery is delayed if the patient has had a recent

MI

2

prevention of DVT post-op =

compression stockings
low dose S/C heparin
early mobilisation

3

Risk factors for atelectasis(which leads to pneumonia) post GI surgery =

anaesthesia (increases secretions and decreases cilia activity)
postop pain (less coughing)
aspiration of stomach contents

4

Prevention of PE post op

compression stockings
low dose S/C heparin
early mobilisation
anti-coagulation if have DVT

5

PE goldstandard diagnostic test =

CT

6

paralytic ileus post-op can be cause by hypo___

hypokalaemia

7

Na hyaluronidate is used to prevent ___

adhesions (fibrin->fibrous tissue that joins bowel to itself or adjacent structures)

8

For ERAS (enhanced recovery after surgery) pre-op procedures =

counsel
carb and fluid load
no premedication/prolonged fast/bowel prep
antibiotic and thromboprophylaxis

9

For ERAS (enhanced recovery after surgery) op procedures =

short acting analgesia
no drains
avoid salt and H2O overload
maintain body temp

10

For ERAS (enhanced recovery after surgery) post-op procedures =

no NG
early removal of catheter
early PO nutrition
early mobilisation
no opioid PO analgesia/NSAIDs