Perioperative Flashcards

1
Q

Patient for surgery with acute hepatitis.

Next step?

A

Contraindicated till LFT’s improve

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2
Q

Metformin is discontinued ___days before surgery.

A

2 days (and after surgery as well)

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3
Q

Wrt surgery, Oral hypoglycemic discontinued __

A

On day of surgery and post op until no longer NPO

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4
Q

Wrt surgery, insulin is __

A

Discontinued on the day but administered IV intraoperatively

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5
Q

Antihypertensives to discontinue one day b4 surgery

A
  • ACE inhibitors
  • ARBs
  • Diuretics
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6
Q

Wrt surgery discontinue antiplatelets__

A

One week before

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7
Q

Wrt surgery discontinue anticoagulant __

A

• 2 days before

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8
Q

Wrt surgery, Warfrin __

A

Discontinue 5 days before surgery

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9
Q

Wrt to surgery LMWH discontinued__

A

24 hrs before

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10
Q

Post OP patient with < 0.5 mL/ kg/ hr urine output > 6 hrs __

A

Check catheter patency

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11
Q

INR reference range

A

0.9 - 1.1

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12
Q

Increased INR in__

A
  • Vitamin K deficiency
  • Impaired Coag. Factor production (chirrosis)
  • Factor VII deficiency
  • DIC
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13
Q

WHO analgesic ladder

A

(Mild) Non opioids ONLY

(Moderate) Non opioids & Mild Opioids

(Severe) non opioids + Strong Opioids

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14
Q

A clean contaminated wound requires ___ Antibiotics

A

prophylactic

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15
Q

Temperature has to be Greater than 38 C

A

to be considered Postoperative Fever

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16
Q

An acute post-Op fever is likely

  • Nosocomial UTI (catheter)
  • Pneumonia
  • Surgical site Infection caused by
A

Group A streptococcus Or

Clostridium Perfringens

17
Q
  • Acalculous cholecystitis and

* Anastomotic Leak are other acute causes of

A

…Post-Op fever

18
Q

Febrile Drug reaction usually occurs…

A

Greater than a week but < 1month post-Op

19
Q

Fever > 1 month after surgery is likely

A

…delayed Cellulitis Or Infective Endocarditis