Preop/Postop Care

Question 1

Prohibitive EF for non-cardiac operations

Answer 1

35%

Question 2

Fluid for patient receiving insulin

Answer 2

D5NS

Question 3

How much insulin to administer for diabetic undergoing surgery

Answer 3

1/2 of long-acting

Question 4

When to hold metformin

Answer 4

1 day preop

Question 5

When to hold oral hypoglycemics

Answer 5

day of surgery

Question 6

When to hold SERMs

Answer 6

7 days before surgery

Question 7

When to stop warfarin

Answer 7

5 days preop

Question 8

When to stop anti-platelet agent if low/moderate risk for CV event/CVA

Answer 8

7-10 days

Question 9

Type of shock with decreased SVR

Answer 9

Distributive

Question 10

Which infection? Occurs within 30-45 minutes of procedure

Answer 10

Bacteremia

Question 11

Most common source of fever on post-op day 1

Answer 11

Atelectasis

Question 12

Cause of fever on post-op day 2-3

Answer 12

Pneumonia

Question 13

Cause of fever on post-op day 3

Answer 13

UTI

Question 14

Cause of fever on post-op day 5

Answer 14

Deep Thrombophlebitis

Question 15

Cause of fever on post-op day 7

Answer 15

Wound infection

Question 16

Cause of fever/infection post-op day 10-15

Answer 16

Deep Abscess

Question 17

Diagnosis and Treatment of Deep Thrombophlebitis

Answer 17

Doppler US, Heparin

Question 18

Diagnosis and Treatment of Deep Abscess

Answer 18

CT, radiologic percutaneous drainage

Question 19

Most often time of preoperative MI

Answer 19

2-3 days post-op

Question 20

Most often time of preoperative PE

Answer 20

7 days post-op

Question 21

Catheterization is indicated if there is no spontaneous voiding within __ hours post-op

Answer 21

6

Question 22

Intervention for low urinary output

Answer 22

Fluid challenge with 500ml NS

Question 23

Which diagnosis? paralytic ileum in elderly sedentary patients with abdominal distention and massively dilated colon

Answer 23

Ogilvie Syndrome

Question 24

Treatment of Ogilvie Syndrome

Answer 24

Colonoscopy and rectal tube placement

Question 25

Timing of wound dehiscence

Answer 25

Post-op day 5

Question 26

Treatment of Dehiscence

Answer 26

Secure taping and abdominal binding

Question 27

Treatment of Evisceration

Answer 27

Cover bowel in warm sterile saline dressing, emergency closure

Question 28

Which diagnosis? Patient becomes progressively more difficult to bag during surgery

Answer 28

Tension pneumothorax

Question 29

3 Measures to reduce ventilator-induced lung injury

Answer 29

Low tidal volume, decrease oxygen to 60% within 48-72 hours, PEEP to prevent atelectasis