Pacientul

Question 1

Nivelul de hemoglobina se det la

Answer 1

1. Proceduri cu pierderi sang mari ( >500 ml)
2. Anemie de cauza necunoscuta
3. Istoric de anemie
4. Neoplazie
5. Insuf renala
6. Cardiopatie
7. DZ
8. Sarcina

Question 2

Det ionogramei sau electrolitilor se face la

Answer 2

1. DZ
2. HTA
3. Boala cardiovasc, renala, hepatica
4. Terapie diuretica de lunga durata
5. Varsaturi persistente
6. Pacienti in varsta

Question 3

Det creatininei serice se face la

Answer 3

1. DZ
2. HTA
3. Boala cardiovasc, renala, hepatica

Question 4

Det sumarului de urina se face la

Answer 4

1. Simpt de tract urinar
2. Istoric de tract urinar
3. Proceduri urologice

Question 5

Raspunsul la stresul chirurgical

Answer 5

1. Cresc catecolaminele
2. Creste O2 miocardic
3. Supresia sist fibrinolitic => tromboza

Question 6

Indicatiile ekg-ului

Answer 6

1. Boala coronariana
2. Aritmii
3. Boala arteriala periferica
4. Operatii cu risc inalt

Question 7

Indicatii ecocardiografie sau test de efort

Answer 7

Pacienti cu risc inalt si functie cardiaca scazuta sau nedet

Question 8

Factori ce tin de pacient pt complicatii pulm

Answer 8

1. Varsta
2. Boala pulm cronica
3. Tutun
   4, Insuf cardiaca congestiva

Question 9

Masuri preop care reduc riscul de compl pulm

Answer 9

1. Stop fumat cu min 6 sapt inainte
2. Antrenare musc inspiratorie
3. Bronhodilatatoare
4. Atb pt infectiile preexistente
5. CS in astm

Question 10

Cea mai frecv cauza de IRA perioperator

Answer 10

Necroza tubulara acuta

Question 11

Factori de risc pt IRA

Answer 11

1. Varsta
2. Istoric boala renala
3. FEVS <35%
4. Index cardiac < 1,7
5. HTA
6. Boala vasc perif
7. DZ
8. Chir de urgenta si tipul

Question 12

Principala tinta in managementul periop al pacientilor cu BCR

Answer 12

Mentinerea euvolemiei si perfuziei renale

Question 13

Parametri in scorul Child-Pugh

Answer 13

1. Bilirubina
2. Albumina
3. TP
4. Encefalopatie
5. Ascita

Question 14

Parametri in scorul MELD

Answer 14

1. Bilirubina
2. Creatinina
3. INR

Question 15

Terapia pt ascita

Answer 15

1. Sodiu max 2g/zi

2. Spironolactona + furosemid

Question 16

Simptome sevraj

Answer 16

1. Halucinatii
2. Tremor
3. Agitatie
4. Tahicardie

Question 17

Sindromul Wernicke-Korsakoff

Answer 17

1. Ataxie
2. Oftalmoplegie
3. Confuzie

Question 18

Efectele hormonilor de contrareglare

Answer 18

1. Rezistenta perif la insulina
2. Cresterea prod hep de glucoza
3. Scaderea prod de insulina
   => hiperglicemie / cetoacidoza

Question 19

Evaluarea preop a DZ

Answer 19

1. Controlul metabolic
2. Compl cardiovasc
3. Neuropatia vegetativa
4. Nefropatia

Question 20

Cand se opresc insulina rapida si cu durata scurta

Answer 20

Cand pacientul nu se mai alim preop - miezul noptii

Question 21

Cum se adm insulina cu durata lunga si intermed

Answer 21

2/3 din doza de seara

1/3 din doza de dim

Question 22

Cand se opresc ADO cu durata lunga

Answer 22

48-72h inainte

Question 23

Simptome cetoacidoza

Answer 23

1. Greata
2. Varsaturi
3. Distensie abd
4. Poliurie

Question 24

Doza de prednison care se asociaza cu supresia HPA

Answer 24

20 mg/zi cel putin 3 sapt

Question 25

Sonda nazo-gastrica

Answer 25

• In ocluzie sau ileus
• Tub sifon
• Tub mic in tub mare
• Aspiratie continua = aer in sifon

Question 26

Sonde nazo-enterale

Answer 26

• Pt alimentatie

- Moi, subtiri

Question 27

Sonde de gastrostoma

Answer 27

= PEG

- drenaj / alimentatie

Question 28

Sonde de jejunostoma

Answer 28

• nutritie pe termen lung

- asociate cu PEG

Question 29

Drenuri cu sist inchis de aspiratie

Answer 29

1. Jackson-Pratt

2. Hemovac

Question 30

Drenuri aspirative cu sifon

Answer 30

Davol

Question 31

Drenaje pasive

Answer 31

Penrose

Question 32

Drenuri folosite in abcese

Answer 32

Pigtail (pasiv)