Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery > Pre and Postop Care > Flashcards

Pre and Postop Care Flashcards

1
Q

What do you document for informed consent

A

The procedure was explained

Risks, Benefits, and alternatives were explained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When to do an EKG preop

A

Over 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What test should be done on any female of childbearing age?

A

HCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When should you order a type and screen (T&S)?

A

Anemia or Significant blood loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What lab should be ordered preop if the pt is on blood thinners or has liver disease and when?

A

Cag pannel on DOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is past surgical Hx important?

A

preop planning b/c of scar tissue, expected adhesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does AMPLE stand for?

A

Allergies, Meds, Past med hx, Last meal, Events prior to admission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When is AMPLE used?

A

In the setting of emergency surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What has been shown to decrease mortality with heart disease if given preop?

A

Beta Blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

No elective surgery within how long of an MI/Stroke?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should pts with unstable angina ideally have before surgery?

A

CABG or PTCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should be given up until DOC with prosthetic heart valves?

A

Anticoagulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What finding on PFT would signify major pulmonary risk?

A

FEV1 <50% expected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What pulmonary risks should be discussed with the patient?

A

Atelectasis, postop pneumonia, prolonged ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What proportion of postop mortality is pulmonary related?

A

1/3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What complications are associated with chronic renal insufficiency?

A

Problems with electrolyte balance, volume management, acid-base balance, bleeding risk (high BUN has an anticoag effect)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What electrolytes should be avoided in fluids given to pts on dialysis?

A

K Mg Phos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When should surgery be scheduled in relation to pts dialysis?

A

Shortly after

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What should be excluded from dialysis treatment before surgery?

A

Heparin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What mortality is associated with Child’s A cirrhosis?

A

10-15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What mortality is associated with Child’s B cirrhosis?

A

25-30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What mortality is associated with Child’s C cirrhosis?

A

> 50%

23
Q

What complications is malnutrition associated with?

A

Poor wound healing, immunosuppression, respiratory insufficiency

24
Q

What are laboratory signs of malnutrition?

A

Albumin <18, low total protein

25
Q

Pts who have been on steroids during the past year are at a risk of what?

A

Postop adrenal insufficiency

26
Q

If postop adrenal insufficiency caused by steroid use is untreated what can it lead to?

A

Vascular collapse

27
Q

How is post op adrenal insufficiency treated?

A

Hydrocortisone IV 100 mg IV tid for one day then 50 mg IV for one day

28
Q

What are diabetics high-risk for if their blood sugars are high at the onset of surgery?

A

Hyperosmolar coma

29
Q

Hyperglycemia in general leads to:

A

Immunosuppression, poor wound healing

30
Q

For what conditions do you keep on lovenox until DOS?

A

Mechanical heart valves and a fib

31
Q

Risk of clot is greater with arterial clot within how much time?

A

6 months

32
Q

Risk of clot is increased with DVT within how much time?

A

3 months

33
Q

When is DVT prophylaxis given if the patient is still in the hospital post-op?

A

within 24 hrs

34
Q

When are postop abx given?

A

Elective colon surgery

35
Q

When can wounds be undressed and left open?

A

After 48 hours

36
Q

How will an abscess in a wound present?

A

fluid collection in red, painful wounds

37
Q

What can an abscess not be treated without?

A

Drainage

38
Q

When can staples be removed in a normal patient?

A

POD 7

39
Q

What is a seroma?

A

Fluid collection in a painless wound

40
Q

How is a seroma treated?

A

It will resolve on its own or can be drained if it is symptomatic

41
Q

When do postop fevers generally occur?

A

Wind (1) Water (3) Wound (5) Walk (7)

42
Q

What does wind stand for in wind/water/wound/walk?

A

Atelectasis

43
Q

When should C diff be suspected for a post op fever?

A

Very high WBC and copious diarrhea

44
Q

What is the classic setup for necrotizing fasciitis?

A

POD 1, high fever, “dirty dishwater” drainage from wound

45
Q

How is nec fasc treated

A

Surgical emergency

46
Q

What are common causes of post op hypotension

A

Hypovolemia, bleeding, septic shock, MI

47
Q

What are common causes of low urinary output?

A

hypovolemia, bleeding, clogged foley, renal failure

48
Q

How long is a small bowel ileus?

A

SB ileus does not occur

49
Q

How long does a stomach ileus last?

A

Maybe one day

50
Q

How long does a large bowel ileus last?

A

3-5 days

51
Q

How do you manage pain if pt is NPO?

A

IV or PCA narcotics

52
Q

What are precautions in Toradol?

A

Elderly, renal insufficiency

53
Q

How long can a pt be treated with Toradol?

A

Minimal doses for no more than 72 hours

Surgery (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions