Preop/Postop Care Flashcards
Prohibitive EF for non-cardiac operations
35%
Fluid for patient receiving insulin
D5NS
How much insulin to administer for diabetic undergoing surgery
1/2 of long-acting
When to hold metformin
1 day preop
When to hold oral hypoglycemics
day of surgery
When to hold SERMs
7 days before surgery
When to stop warfarin
5 days preop
When to stop anti-platelet agent if low/moderate risk for CV event/CVA
7-10 days
Type of shock with decreased SVR
Distributive
Which infection? Occurs within 30-45 minutes of procedure
Bacteremia
Most common source of fever on post-op day 1
Atelectasis
Cause of fever on post-op day 2-3
Pneumonia
Cause of fever on post-op day 3
UTI
Cause of fever on post-op day 5
Deep Thrombophlebitis
Cause of fever on post-op day 7
Wound infection
Cause of fever/infection post-op day 10-15
Deep Abscess
Diagnosis and Treatment of Deep Thrombophlebitis
Doppler US, Heparin
Diagnosis and Treatment of Deep Abscess
CT, radiologic percutaneous drainage
Most often time of preoperative MI
2-3 days post-op
Most often time of preoperative PE
7 days post-op
Catheterization is indicated if there is no spontaneous voiding within __ hours post-op
6
Intervention for low urinary output
Fluid challenge with 500ml NS
Which diagnosis? paralytic ileum in elderly sedentary patients with abdominal distention and massively dilated colon
Ogilvie Syndrome
Treatment of Ogilvie Syndrome
Colonoscopy and rectal tube placement
