surgical complications in diabetics Flashcards Preview

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Flashcards in surgical complications in diabetics Deck (8)
1

pre-Op evaluation in elective operations on diabetics

review previous cardiac hx, renal comorbidities

2

preOp eval in emergent operations in diabetics

1. establish baseline
2. EKG
3. blood work

3

top postOp issues in diabetics (4

1. infxns
2. wound care
3. glu control
4. gastroparesis

4

what puts diabetics at incr risk for infxns (4)

1. reduced capillary perfusion
2. reduced O2 & nutrient delivery
3. impaired circulation of antimicrobials
4. hyperglycemia

5

blood sugar control recommended for sternal wound infxns

sugars under 180 in timeframe of 18-24 hrs after anesthesia is done

6

incr insulin tx has what effect on mortality?

incr motality

7

if patient admitted and sugars are >300, then?

start on insulin drip

8

how to protect diabetics from contrast-induced nephropathy (2)

1. adequate hydration prep
2. N-acetylcysteine