Acute Care Management

Question 0

carotid endarterectomy, head & neck surgery, intraperitoneal & intrathoracic surgery, orthopedic, prostate surgery
risk?

Answer 0

intermediate

Question 1

aortic & other major vascular surgery risk

Answer 1

high

Question 2

ambulatory surgery, endoscopic, superficial procedure, cataracts, breast surgery risk

Answer 2

low

Question 3

Goldman criteria

Answer 3

high risk type of surgery, hx ischemic HD, hx HF, hx CVD, DM, preop Cr > 2.0

Question 4

low VTE risk?

Answer 4

minor surgery in pts < 40 y/o w/ no risk factors

Question 5

moderate VTE risk

Answer 5

minor surgery in pts w/ one risk factor

ages 40-60 w/o risk

Question 6

high VTE risk

Answer 6

pts > 60

age 40-60 w/ 1 risk factor

Question 7

highest VTE risk (3)

Answer 7

pts > 40 w/ multiple risk factors
hip or knee arthroplasty
major trauma or spinal cord

Question 8

when to re-evaluate fluid & electrolytes?

Answer 8

every 4-6 hours POD1

every 24h POD2+

Question 9

CT indications? (3)

Answer 9

abdomen
perfusion of bowel wall
evaluating solid organs

Question 10

X-ray indications

Answer 10

stones, bones, gas, mass

Question 11

visualization of hollow organs w/ X-ray?

Answer 11

contrast radiography

Question 12

MRI w/ contrast use?

Answer 12

enhancement of blood vessels

Question 13

cause of post op fever day 1-2?

Answer 13

wind- lungs. Pneumonia, aspiration, PE

Question 14

postop fever days 3-5?

Answer 14

water- UTI

Question 15

postop fever days 4-6?

Answer 15

Walking- DVT or PE

Question 16

postop fever days 5-7

Answer 16

Wound- surgical site infection

Question 17

postop fever days 7+

Answer 17

Wonder drugs- drug fever, infections from IV lines or blood products