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Surgery & Anesthesia > General Considerations > Flashcards

General Considerations Flashcards

1
Q

Chronic Renal

A

volume depletion, hypotension, pulmonary edema

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2
Q

H/o asthma

A

bronchospasm

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3
Q

Spirometer, atelectasis, hospital setting

A

Pneumonia

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4
Q

TKA or hip arthroplasty

A

DVT

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5
Q

take DVT prophylaxis when doing…

A

ankle or hindfoot surgery

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6
Q

catheter

A

bacteremia

UTI

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7
Q

toxic reactions

A

halothane hepatitis

antibiotic induced interstitial nephritis

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8
Q

perioperative opioids

A

PONV
constipation
urinary retention

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9
Q

sedatives

A

hypoventilation

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10
Q

NSAIDS

A

gi bleed
asthma
renal failure

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11
Q

unable to walk 4 blocks or up 2 flights of stairs

A

exercise intolerance

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12
Q

severe RA

A

poor candidates for GA

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13
Q

severe RA needs

A

neck x-ray, risk atalnto-axis subluxation

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14
Q

S3, rales, peripheral edema

A

CHF

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15
Q

absent S2

A

aortic stenosis

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16
Q

high risk for cardiac complications

A

aortic stenosis

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17
Q

murmur loudest in systole

A

LVH

18
Q

ascites, jaundice, splenomegaly, telangiectasia, icterus, gynecomastia, test. atrophy

A

chronic liver disease

19
Q

evaluate mental status of elderly

A

folstein mini-mental status exam

20
Q

h/o stroke

A

hyperreflexia

21
Q

hyperreflexia in surgery can cause

A

VTE
delirium
aspiration

22
Q

clubbing

A

cardiopulmonary dz

infection

23
Q

janeway lesions

A

subacute bacterial endocarditis

24
Q

look for nails

A

nicotine stains

subungual splinter hemorrhages

25
Q

writing order for admission

A

ADC VAAN DIL MAX

26
Q

ADC VAAN DIL MAX

A 
Admit -floor
Dx
Condition
Vitals 
Allergies
Activity (WB/PT)
Nursing
Diet
IV/fluids
Labs
Medications
Ancillary/consults
X-rays
27
Q

start 2 units insulin at BGL

A

150-200

then increase 2 units/50

28
Q

5+ mg prednisone/day/7+ days

A

hyperthalamic pituitary axis shutdown!

29
Q

hyperthalamic pituitary axis shutdown

A

drop BP > death

30
Q

gout

A

colchicine 0.6 mg before, during, after

31
Q

anema, Ca, Renal, PE order..

A

Hb

32
Q

over 50 yo order…

A

EKG

33
Q

infection, MPD or medications that cause neutropenia order…

A

WBC

34
Q

MPD, platelet abnormalities, medications that cause thrombocytopenia order…

A

Platelets

35
Q

use coumadin, malnourished, chronic hepatic dz, perioperatively order..

A

PT/PTT/IRN

36
Q

abnormal bleeding history, PE order…

A

Bleeding Time

37
Q

Arrhythmia, hypokalemia, CHF, ARI, or on HTN medications (diuretics, ACEIs, ARBs, Digoxin) order…

A

Electrolytes

38
Q

predictor of cardiac complications

A

Cr, renal function

39
Q

older 50 yo, DM, HTN, RI, CAD, major surgery order…

A

Renal function test

40
Q

DM, obese, CAD order…

A

glucose test

41
Q

malnourished, hepatic dz, renal dz, enteropathy, recent blood loss, severe illness, cachexia order…

A

Albumin

Surgery & Anesthesia (12 decks)

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