Postoperative Complications 2

Question 1

Postoperative Confusion causes

Answer 1

It is likely that a confused patient is hypoxic or septic

Question 2

Postoperative Confusion dx

Answer 2

You must get an ABG,

chest x-ray, blood cultures, urine culture, and CBC,

Question 3

If the patient is hypoxic, consider as causes:

Answer 3

embolism, atelectasis, or pneumonia

Question 4

Acute Respiratory Distress Syndrome (ARDS) cxfx

Answer 4

severe hypoxia, tachypnea, accessory muscle use for ventilation, and hypercapnia

Question 5

Acute Respiratory Distress Syndrome (ARDS) dx

Answer 5

Diagnose with a chest x-ray that will show bilateral pulmonary infiltrates without JVD (rule out CHF)

Question 6

Acute Respiratory Distress Syndrome (ARDS) tx

Answer 6

positive end expiratory pressure.

Question 7

Pulmonary Embolism cxfx

Answer 7

acute onset of chest pain with clear lung exam

Question 8

Pulmonary Embolism best initial test

Answer 8

EKG, which will show sinus tachycardia without evidence of ST segment changes.

Question 9

Pulmonary Embolism best test

Answer 9

CT angiogram

Question 10

Pulmonary Embolism tx

Answer 10

heparin as a bridge to warfarin therapy

Question 11

second Pulmonary Embolism tx

Answer 11

you must place an IVC filter via inguinal catheterization