Pre, Intra, Post Op Care

Question 1

clean wound

Answer 1

uninfected operative wound

no inflammation

wound closed primarily

a viscus (resp, alimentary, genital, urinary) is not entered

Question 2

clean contaminated wound

Answer 2

a viscus is entered under controlled conditions

without unusual contamination

Question 3

contaminated wounds

Answer 3

open, fresh accidental wounds, operations with major breaks in sterile technique

or gross spillage from a viscus.

Wounds in which acute, nonpurulent inflammation was encountered also were included in this category

Question 4

dirty wounds

Answer 4

old traumatic wounds with retained devitalized tissue, foreign bodies, or fecal contamination or wounds that involve existing clinical infection or perforated viscus.

Question 5

first choice abx for many surgical procedures

Answer 5

cefazolin

Question 6

what is a pulmonary toilet

Answer 6

encourage ppl to take deep breathes and cough, try to get them up, HOB elevated, designed to clear secretions and improves oxygenation and respirations

Question 7

5 Ws for post operative fever

Answer 7

Wind (24-48hrs): Atelectasis

Water (next days 2-3): Urinary tract infection

Wound (day 3-4): Wound infection

Walking (4-5): DVT

Wonder drugs (anything after 5 days): Drug fever

Question 8

minumum urine output per hr

Answer 8

0.5 cc