Post-Op Care Flashcards
if decreased intake for post op nutrition, how to treat? 3 ways
High calorie and protein drinks
nasogastric feeding
total parenteral nutrition
usual urine output is?
1/2mL/kg/Hr
Day 1 post op why not give extra fluids?
increased ADH from surgery/trauma
what happens to fluid usually day 2 post-op?
shifts from interstititum into intravascular so you decrease IV fluid rate in anticipation
if anuria post-op, check what 3 things?
blocked IDC
hypovolaemia
any bleeding?
when want patient mobilised?
post-op day 2
2 types of VT prophylaxis?
mechanical
chemical
what does strength of wound rely on?
closure of underlying fascia
remove sutures at what dates for following body parts? Face Neck Back/leg Abdo
Face: 5-7 days
Neck: 7 days
Back/leg: 2 weeks
Abdo: 10-14
how does deep wound dehiscence happen?
dehiscence of fascial layer
Drain removal consider 2 things:
contents
amount
what do the following drains do?
T-Tube
Intercostal catheter
External ventricular drain
T-Tube: post bile dut exploration
Intercostal catheter: fluid or air from pleura/thorax
External ventricular drain: hydrocephalus
4 causes of post-op confusion:
hypoxia
sepsis
meds
metabolic
fever in first 48 hours post op bad?
normal
what could cause fever 5-10 days post op?
abscess
