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Surgery > Post Op > Flashcards

Post Op Flashcards

1
Q

What are the complications of laparoscopy?

A

Vasovasal (low hr, due to abdo distension)
Surgical emphysema
Injury to GI tract
Injury to blood vessel

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2
Q

Stages to wound healing

A

Haemostasis - vasospasm, platelet plug, fibrin clot
Inflammation (1-5days) - neutrophils, growth factors, fibroblasts, macrophages, matrix regeneration
Regeneration (7-56days) - platelet growth factor, fibroblasts and epithelial cells, collagen network, angiogenesis and granulation tissue
Remodelling (6wks-1 year) - wound contraction, collagen remodelling, microvessels regress, pale scar

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3
Q

Problems with scar healing?

A

Hypertrophic scar - within boundaries
kelliod scars - excess collagen, beyond boundaries,

Drugs impaired healing include: NSAIDS, steriods, immuno sups, anti neoplastic drugs

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4
Q

Blood gases results for: hypoventilation?

A

Resp acidosis with type 2 resp failure

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5
Q

Blood gases results for: atelectasis?

A

Resp alkalosis with type 1 Resp failure (due to hyperventilating)

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6
Q

What can reverse UF heparin.

A

Protamine

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Surgery (18 decks)

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