Post op presentations of complications Flashcards
what scoring system can be used for DVT and PE?
wells score
what score can be used for stroke risk?
CHADVas
what score can be used for pneumonia?
CURB65
what does AVPU stand for?
alert
verbal
pain
unresponsive
what could cause hypoxia after surgery ?
previous lung disease atelectasis aspiration LVF PE pneumothorax pain could result in hypoventilation
what tests should be done for hypoxia ?
FBC, ABG, CXR, ECG
what is the commonest cause of reduced urine output ?
post renal - blocked (catheter)
what can be a cause of nausea and vomiting ?
obstruction ileus emetic drugs (opioids)
what should always be checked when hyponatraemic ?
what was the level of Na before the surgery
state some causes of hyponatraemia ?
SIADH pain nausea opioids stress over administration of IV fluids
what is the treatment of post op hyponatraemia ?
correct slowly at 1mM/h
what are the causes of hypotension ?(CHOD)
cardiogenic
hypovolaemia
obstructive (PE)
distributive (sepsis)
what is the management of hypotension ?
if: hypovolaemic - fluid challenge (500ml colloid over 30mins) haemorrhage return to surgery sepsis (fluid challenge and Abx) overload (frusemide)
what are the causes of acute confusional state ? (DELIRIUM)
drugs eyes, ears deficit low 02 levels infection retention ictal (stroke, headache) under hydration or nutrition metabolic (Na, AKI, glucose, alcohol withdrawal)
