Post Op Care

Question 1

Why may NSAIDS be contraindicated as post op analgesia? (4)

Answer 1

If patient has:

Asthma
Renal impairment
Heart disease
Stomach ulcers

Question 2

What are 3 examples of prophylactic antiemetics used post op?

Answer 2

Ondansetron (serotonin antagonist) avoid in patients at risk of prolonged QT

Dexamethasone, use cautiously in diabetics and immunocompromised

Droperidol (dopamine antagonist) avoid in Parkinson’s

Question 3

What are the antiemetics used post op if the patient is vomiting? (3)

Answer 3

Ondansetron

Prochlorperazine (dopamine antagonist)

Cyclizine (H1 antagonist) use with caution in HF and elderly

Question 4

What is used to treat an anaemia in post op where the Hb is under 100 but higher than 80

Answer 4

Oral iron