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