Post operative Care Flashcards
Postoperative Fever Assessment per days, nmemonic 1-2 3-5 5-7 7 8-15
POD-Mnemonic 1-2 Wind 3-5 Water 5-7 Walking 7 Wound 8-15 Weird
POD-Mnemonic
1-2 Wind includes
Atelectasis or
postoperative
pneumonia
Atelectasis or
postoperative
pneumonia Dx
Chest x-ray
followed by
sputum cultures
Atelectasis or
postoperative
pneumonia Prevention & Tx
What ATB would you use on this case?
Prevention by incentive spirometry; vancomycin and
tazobactampiperacillin
for hospital-acquired
pneumonia
POD-Mnemonic
3-5 Water includes
Urinary tract
infection
Urinary tract
infection dx
Urine analysis showing positive nitrates and leukocyte esterase. Urine culture for species and sensitivity.
POD
5–7 Walking includes
Deep vein thrombosis or thrombophlebitis
of the IV access lines.
Must also consider pulmonary embolism for new-onset tachycardia and chest pain.
DVP, thombophlebitis, Dx
Doppler ultrasound of the extremities. Changing of IV
access lines and culture of the IV tips.
DVP tx
Heparin for 5 days as a bridge to warfarin for 3–6 months
POD
7 wound includes
Wound
infections and
cellulitis
Wound
infections and
cellulitis dx
Physical exam of the wound for erythema, purulent discharge, and/or swelling
Wound
infections and
cellulitis tx
Incision and drainage if abscess or fluid followed by antibiotics
POD
8– 15 Weird includes
Drug fever or
deep abscess
deep abscess dx
CT scan for examination of a deep fluid collection
deep abscess tx
CT guided percutaneous guided drainage of the abscess; otherwise surgery
