General Surgery Flashcards
What is the MOA of Entereg?
Peripheral opioid antagonists
What is Entereg used to treat?
post-op ileus
What does ERAS stand for?
enhanced recovery after surgery
Where is a Transversus abdominis plane block performed?
Triagle of Petits, feels for two pops and get between the T.A. and the I.O. muscles.
inotropic
affecting the strength of a contraction
MOA of milronone?
phosphodiesterase 3 inhibitor
What two things does milronone do?
Increases cardiac inotropic contractility, acts peripherally on vasculature to relax arteries
What is the MOA of heparin?
activates antithrombin III
If antithrombin III is activated what does it do?
It is an inhibitor that inactivates thrombin, factor Xa and
Why is dobutamin preferred over milrinone in renal insufficiency patients?
milrinone is renally excreted and thus would accumulate and lead to hypotension
If providing IV inotropic support and patient has recently used a beta blocker, which agent should be used?
a PDE-3 inhibitor over dobutamine
tumefactive sludge
biliary sludge that may mimick a gallstone
How does contrast get into the gallbladder on a HIDA scan?
Inject into arm. Bile-producing cells take it up once that blood enters the liver.
Triangle of Calot
common hepatic duct, cystic duct, cystic artery
jejunojejunostomy
an anastomosis of 2 parts of the jejunum
gastrojejunostomy
in RYGB where the gastric pouch is connected to the jejunum
Roux limb
receives food
Peterson’s defect
retrocolic internal hernia
an R2 resection
by the naked eye there is tumor tissue present at the resection margin
R1 resection vs R0 resection
R1- cancer presents when looked at a microscope. R2- no cancer present on the microscope.
Antibiotics for acute cholecystitis?
Pip-Tazo OR Ceftriaxone/Flagyl
Antibiotics of acute appendicitis?
Pip-Tazo OR Cipro/Flagyl
If you hear shellfish allergy think ____.
iodine allergy
