Peri-Operative Patient Management Flashcards
1
Q
What is the immediate management?
A
VTE (venous thromboembolism) assessment NBM pending review ABC approach Oxygen IV access and blood tests Analgesia, anti-emetics, PPI, Abx
2
Q
What are the three types of management in medicine?
A
Conservative
Medicinal
Interventional e.g. endoscopy, radiology
Surgery
3
Q
What are our pre-operative actions?
A
Fasting Fluids, medications, anticoagulants Adjuncts e.g. en tube etc. Bloods and imaging ECG, lung function, CPEX, NELA, pre-hab
4
Q
What notes do we make for post-operative care?
A
Oral intakes
Anti-coagulation
Drains
5
Q
Who helps in rehabilitation?
A
Recovery, stoma, tissue viability nurses Dieticians Speech and language therapists Physiotherapists OTs Pharmacists Discharge team
6
Q
What might be the cause of post-op pyrexia?
A
Chest Catheter CVP line Cannula Cut Collection Calves - DVT
before 24 hours - trauma or infection
24-72 - pulmonary atelectasis, chest infection
3-10 - UTI, DVT, PE, wound, collection
7
Q
What are the sepsis 6?
A
3 in - oxygen, IV fluids, IV antibiotics
3 out - urine output, blood cultures, lactate
