Clinical Cases

Question 1

what are common causes of immediate post operative deterioration

Answer 1

Primary or reactionary haemorrhage

Basal Atelectasis

Shock

Low urine output

Question 2

what are common causes of early post operative deterioration

Answer 2

Poor pain control

Acute confusion

Nausea/Vomiting

Fever

Secondary haemorrhage

Pneumonia

Wound dehiscence

DVT

Urinary retention

UTI

Post-operative wound infection

Pressure sores

Ileus

Question 3

what is the scoring system for sepsis and what are its components

Answer 3

qSOFA

3 point score
<15 GCS
RR >22
Systolic BP <100

Yes/no system

2-3/3 = high mortality

0-1 = not high risk

Question 4

what is a single best empirical option for antibiotics in non meningococcal sepsis

Answer 4

Tazocin until cultures come back

Question 5

what is the single best empirical option for antibiotics in meningococcal sepsis

Answer 5

cefuroxime or another 3rd gen cephalosporin