Peri-operative care

Question 1

diabetics - surgery requiring long fasting period ( of more than one missed meal) or whose diabetes poorly controlled will need what

Answer 1

variable rate intravenous insulin infusion (VRIII)

good control the nfine
most patients taking only oral antidiabetic drugs may be managed by manipulating medication on the day of surgery,

Question 2

flozins surgery

Answer 2

omit on day of surgery

Question 3

gliclazide what do you do both morning and afternoon ops and 1 or 2 doses

Answer 3

If taken once daily in the morning - omit the dose that
day
If taken twice daily - omit the morning dose that day

If taken once daily in the morning -
omit the dose that day
If taken twice daily - omit both doses that day

Question 4

metformin once or twice

Answer 4

take as normal

Question 5

insulin

Answer 5

halve morning dose and leave evening dose unchanged

Question 6

checklist of an operation

Answer 6

The checklist identifies three phases of an operation:
1) Before the induction of anaesthesia (sign in)
2) Before the incision of the skin (time out)
3) Before the patient leaves the operating room (sign out)

Question 7

insulin minor surgery what do you do with changing the insulin dosage

Answer 7

Adjust their usual insulin regimen and prescribe IV fluids