Post Operative Complications

Question 1

Most common cardiovascular complication post op?

Answer 1

Blood pressure changes

Question 2

What blood pressure is considered to be hypertensive?

Answer 2

Systolic>140

Diastolic> 90

Question 3

Most common post op pulmonary complication? How does it present?

Answer 3

Atelectasis
Low grade pyrexia, tachypnea, tachycardia in the absence of infection.
Happens when the patient is too tired to cough due to severe pain. Give good analgesia and respiratory physiotherapy (force patient to cough)

Question 4

Treatment of airway obstruction

Answer 4

Humidified O2
• Nebulized adrenaline
• IV steroids
• Nebulized beta agonists (eg.Ventolin) and
anticholinergics

Question 5

Pulmonary oedema treatment

Answer 5

Diuretics, oxygen, CPAP

Question 6

Tension pneumothorax treatment?

Answer 6

Needle thoracocentesis

Question 7

Treatment of convulsions?

Answer 7

Benziodiazapine

Thiamine for alcoholics

Question 8

What scans can we do to confirm DVT or PE?

Answer 8

DVT: Venous Doppler
PE: Ct contrast angiography

Question 9

Difference between primary, reactive and secondary intra operative bleeding?

Answer 9

Primary: during the surgery
Reactive: up to 24h
Secondary: up to 7-10 days post op