peri-operative care

Question 1

What information must be provided for patient on oral contraception about to have surgery?

Answer 1

Meds like muscle relaxants will interact with the contraceptive

Assume they can get pregnant 7 days after the surgery

Question 2

What is beta-blocker withdrawal?

Answer 2

when they’re stopped abruptly, it increases your risk of heart attack, high BP and HR, and sudden cardiac death

Question 3

How long does oral iron supplements take to work?

Answer 3

Weeks to months, not an acute solution

An iron infusion will be more effective acutely

Question 4

How long after an MI do you have to wait before elective surgery?

Answer 4

1 Year

Question 5

At what time of day is long-acting insulin taken?

Answer 5

Evening/before bed

Question 6

Before a same-day quick surgery, when should insulin be stoppped?

Answer 6

Take long acting insulin the night before, omit the short acting in the morning because they won’t be eating

Continue normal routine after the surgery is over

Question 7

How is LMWH usually prescribed post surgery?

Answer 7

A prophylactic dose 6 hours after surgery and them at 6pm daily until discharge