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Flashcards in Surgical Conditions Deck (28):
1

what does SOCRATES stand for?

site
onset
character
radiate
associations
time course
exacerbate/relieving
severity

2

how to determine pain levels?

0-10
wong baker faces scale
WHO analgesic ladder

3

what is a weak opiate?

codeine/dihydrocodeine/co codamol

4

what is a moderate opiate?

tramadol

5

what is a strong opiate?

morphine
oxycodene

6

what is diclofenac and what can it cause?

NSAID
contra indicated in cardiovascular disease

7

what might opiates cause?

respiratory destruction
induce toxicity/reduced consciousness/hypotensive/muscle spasm/seizure

8

have caution of NSAIDs and?

hepatic impairement/may cause renal failure

9

avoid NSAIDs and?

pregnancy/ GI ulceration/GORD

10

NSAIDs may worsen symptoms of?

asthma

11

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

12

what is post op hypotension?

bleeding/dehydration/sepsis/opiate overload/spinal anaesthesia

13

what is pyrexia?

temp over 37.5 degrees - check bloods/urine/swabs/echo

14

what kind of superficial dehisences can happen?

superficial - burst sutute
deep - same with haematoma
infection

15

how to treat delirium?

sedation/halopenol 0.5-1mg 1-2 hours : not if pt has parkinsons/lewly body dementia/acute intoxication with alcohol

16

what might cause urinary retention?

after GA
enlarged prostate
UTI
constipation

17

when is nausea common and what can it cause?

post op
tx with anti emetics
may cause mallory weiss tears/dehydration/electrolyte disturbance

18

what is hypokalaemia?

direct effect of renal compensation for acid loss = can cause cardiac arhhythmia

19

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

20

what is immediate surgery?

life/limb/organ saving intervention

21

urgent surgery is?

intervention for acute onset/cinical deterioration of life threatning conditions

22

expedited surgery?

pt needs early tx where conditions are not an immediate threat to life

23

what is elective surgery?p

planned/booked surgery in advance

24

what is done at a pre assesment?

before a GA
for patients with co morbidities
review anaesthetics

25

how to prep for surgery?

IV fluids
diabetic pt management
anti emetics
DVT risk?

26

what do fasted pts need?
what might they cause?

fluids
electrolyte imbalance
affects coagulation

27

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

28

what does SBAR stand for?

situation
background
assesment
recommendation