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Flashcards in the surgical patient Deck (13):
1

How long before surgery should aspirin be held?

10 days

2

Should anti-hypertensives be held before surgery?

Generally, cont anti-HTN drugs except for diuretics and possibly ACE-I's

3

What type of valvular disease increases mortality in surgery?

Aortic stenosis (when 50 mm Hg)

4

What might be a possible endocarditis ppx regimen for MVP or prosthetic valves?

30 min before incision: ampicillin and gentamicin. 6 hrs after incision: amoxicillin, or 2nd dose of amp/genta

5

How do SCDs work?

Stimulate endothelial cell fibrinolytic activity. So still works if one leg is injured and can only have one SCD on!

6

What should DM patients do with meds day of surgery?

Discontinue oral hypoglycemics the night before. Take 1/2 dose or entirely hold insulin the day of surgery.

7

What is the classification system for surgical risk for patients with ascites?

Child's classification (A, B, C)

8

In what order does the GI system "wake up" after surgery?

Small intestine, then stomach, then colon

9

How to estimate when bowel function will return?

Roughly one POD per decade for major abdominal surgery

10

One unit of platelets is expected to raise platelet count by..?

5 to 10,000

11

What to do with patients on warfarin?

1) hold for 3 days and restart on POD#2 or 2) admit preop and change to heparin which can be held only a few hours ahead or 3) switch to subq LMWH

12

Should thyroid meds be given on day of surgery?

Given levothyroxine. Hold anti-thyroid meds (e.g. PTU, MMA)

13

When should abx ppx be given for surgeries?

30 min before incision. Again 6 hrs later if surgery is still going.