Flashcards in Surgical Conditions Deck (28):
what does SOCRATES stand for?
how to determine pain levels?
wong baker faces scale
WHO analgesic ladder
what is a weak opiate?
what is a moderate opiate?
what is a strong opiate?
what is diclofenac and what can it cause?
contra indicated in cardiovascular disease
what might opiates cause?
induce toxicity/reduced consciousness/hypotensive/muscle spasm/seizure
have caution of NSAIDs and?
hepatic impairement/may cause renal failure
avoid NSAIDs and?
pregnancy/ GI ulceration/GORD
NSAIDs may worsen symptoms of?
when might haemorrhages happen post operatively?
0-48 hours = reactionary haemorrhage - slipped ligature/clot disoldged/BP rise - commonest at 4-6 hours post op
secondary haemorrhage - 7-14 days post op - infection or eroded vessel
what is post op hypotension?
bleeding/dehydration/sepsis/opiate overload/spinal anaesthesia
what is pyrexia?
temp over 37.5 degrees - check bloods/urine/swabs/echo
what kind of superficial dehisences can happen?
superficial - burst sutute
deep - same with haematoma
how to treat delirium?
sedation/halopenol 0.5-1mg 1-2 hours : not if pt has parkinsons/lewly body dementia/acute intoxication with alcohol
what might cause urinary retention?
when is nausea common and what can it cause?
tx with anti emetics
may cause mallory weiss tears/dehydration/electrolyte disturbance
what is hypokalaemia?
direct effect of renal compensation for acid loss = can cause cardiac arhhythmia
what is a mallory weiss tear?
repeat or profuse vomitting causes a tear in the junction of the stomach and oseophagus
associated with hiatus hernia/NSAID
can present as haematemesis/maleana
what is immediate surgery?
life/limb/organ saving intervention
urgent surgery is?
intervention for acute onset/cinical deterioration of life threatning conditions
pt needs early tx where conditions are not an immediate threat to life
what is elective surgery?p
planned/booked surgery in advance
what is done at a pre assesment?
before a GA
for patients with co morbidities
how to prep for surgery?
diabetic pt management
what do fasted pts need?
what might they cause?
what is a DVT?
common in over 60 years
active cancer/lower limb surgery/significant inflammatory condition
prophylaxis with low molecular weight heparin
tx with enxaporin