Pre-operative assessment Flashcards
8 aspects of a preoperative assessment
Hx Presentation Co-morbidities PSHx Exercise tolerance Examination Investigations- obs, urine, blood, imaging ASA
2 surgical prophylactic tx and the drug used
Antibiotics- amoxicilin or augmentin
VTE- lmw heparin (dalteparin) or unfractionated heparin if renal function is poor
3 classifications of factors affecting fluid loss
ongoing losses
pre-existing factors
end organ damage
5 examples of an ongoing fluid loss
NBM Bleeding vomiting diarrhoea obstruction
4 examples of of pre-existing factors that affect fluid loss
renal failure
congestive cardiac failure
liver failure
age and frailty
3 examples of end organ damage that can contribute to fluid loss
AKI
pulm oedema
sepsis
4 ways of assessing fluid requirements
obs
physical exam
bloods- U&E, creatinine
expected urine output
2 methods of increasing fluid volume
crystalloids
blood products
5 effects of malnutrition in surgical patients
increased chance of infection slower healing wound breakdown/dehiscence poor mobility death
5 things to consider when giving local anaesthetic
weight (kg) max safe dose concentration will it be affecting and end artery? signs of overdose/toxicity
3 categories of post-op complications
immediate
early
late
5 examples of immediate post-op complications
bleeding, aspiration, structure related damage, fluid loss, ischaemia, pain
5 examples of early post-op complications
infection, wound related, PE, MI, DVT, electrolyte abnormalities
5 examples of late post-op complications
collections, wound dehiscence, DVT, PE, scar related
4 things to consider when assessing drains
location
content
quantity
wound associated complications
