pre op/anesthesia

Question 1

Paralytic ileus

Answer 1

o peristalsis resulting in pseudo-obstruction
no bowel sounds
use NGT to take air out

Question 2

SE of NaCl

Answer 2

hyperchloraemic acidosis

Question 3

food and drink before elective surgery

Answer 3

rink clear fluids up to 2 hours before elective surgery and should consume no solid food for 6 hours before elective surgery

Question 4

when to stop cocp before surgery?

Answer 4

stop the combined oral contraceptive pill 4 weeks prior to her operation.

–> give thromoprophylaxis if not stopped

Question 5

Risk factors for urinary retention

Answer 5

removal of urinary catheter, constipation, immobility, opiate analgesia, infection, haematuria and benign prostatic hyperplasia

Question 6

if disseminated intravascular coagulation give…?

Answer 6

fresh frozen plasma

Question 7

hygiene post op

Answer 7

Use sterile saline for wound cleansing up to 48 hours after surgery.

Advise patients that they may shower safely 48 hours after surgery.