Preop care Flashcards
1
Q
what are 4 key questions for before surgery
A
- reccomendation
- what are all the options
- risk/bene of each option
- if PT decides to have surg., how will proceed
2
Q
3 key points to consent
A
- optiions
- risks
- benefits
3
Q
4 major opertive risks in most surgeries
A
- SSinfections
- DVT
- blood transfusions
- CAD evaluation
4
Q
most infectied surgeries
A
colorectal
5
Q
presentation of infection
A
erthyma, pain, swelling
6
Q
5 keys to prevent SSI
A
- timely and approprate AB
- normothermia
- hair removal method
- FiO2
- skin prep solution
7
Q
key points with AB
A
in the OR within 60min of incision
- redose q4-8hrs
8
Q
key to normthermia and how to
A
- maintain temp >36
- warming blankets pre-op
- increase OR temp
- bear hugger
IV fluid warmer
9
Q
outcomes from warmth (3)
A
- less SSI
- less collagen dep
- less time to eat
10
Q
best way to remove hair
A
clippers right before surg
11
Q
best skin prep
A
chlorhexidine
12
Q
most common cause of death post op
A
- DVT - 15-30% without prophylaxis
13
Q
2 types and SE
A
- DVT -
- swelling, pain - PE
- SOB, tachy, febrile, decreased o2
14
Q
risk factors for DVT
A
- type and length of surg
- CA
- age
- immobolity
- trauma
- peggers
15
Q
best choice to prevent DVT
A
Low mol heparin
- once daily
16
Q
3 risks of infusions
A
- HIV
- hep C
- transfusion reactions
17
Q
3 ways to prevent transfusion probs
A
- autologous transfers (rare)
- pre-op iron - oral or IV
- pre-op EPO
18
Q
diet pre-op
A
NPO at midnight
- no fluid 2 hours
19
Q
3 things for all patients getting abdo surg
A
- CXR
- ECG
- review for modifiable CAD
20
Q
use of bowel prep for surg
A
not needed
