PIEROPERATIVE / COMPLICATIONS

Question 1

No urine output post op

Answer 1

Check Foley (Kinked)
Flush with sterile saline (patent)
Bladder scan
Creatinine (can’t do fino without urine)

Prerenal:
Blood pressure, pulse, CVP if present

Renal sonogram
-or-
IVP (50 – hundred cc intravenous films at 5, 10, 15 minutes)

Question 2

Management of oliguria

Answer 2

Fluid challenge

Evaluate fluid status with ultrasound with IVC

Look for collapse with inspiration

Question 3

ASA Class

Answer 3

The relative risk of serious perioperative complications is 2.2 and 4.4 for ASA patient status III and IV, respectively, illustrating that increasing serious comorbidities (and therefore ASA classification) increases perioperative morbidity

ASA I
A normal healthy patient Healthy, non-smoking, no or minimal alcohol use

ASA II 	
A patient with mild systemic disease 	
Mild diseases only without substantive functional limitations. 
Examples include (but not limited to): 
current smoker, 
social alcohol drinker, 
pregnancy, 
obesity (30 3 months) of MI, CVA, TIA, or CAD/stents.

ASA IV
severe systemic disease that is a constant threat to life

Examples include
recent (