post op care Flashcards
predictors of poor post op outcomes include
JVP distension recent MI premature ventricular contractions any rhythm other than sinus age of 70 emergency aortic valvular stenosis poor medical condition sx in chest or abdo
how long does it take for operative mortality drop after MI
takes 6 months to drop to 6%
the problem with smoking and increased pulmonary risk is due to
increased co2, compromised ventilation
2 clinical findings and 3 lab values that predict operative mortality include
ascites encephalopathy serum albumin INR bilirubin
rare, severe wound pain and very high fever within hours of surgery should alert you to
gas gangrene
most common source of post op fever on POD1
atelectasis
pneumonia in 3 days
Fever on POD3 likely
UTI
fever on POD 5
DVT doppler of leg and pelvic veins,, anticoagulat with heparin
POD7 fever due to
wound infection
deep abscesses start producing fever at about
days 10-15
perioperative MI usually happens after which day
POD 2-3
PE would most commonly occur on which day?
POD 7 in elderly or immobilized patients
sepsis can lead to disorientation/coma due to
hypoxia - secondary to sepsis
ARDS - complicated post op course
every 3 mEq/L that the serum sodium concentration is above 140 representes how many litres of water lost?
1 L
isotonic fluids can be lost in large quantities from
the GI tract
