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CJ CMS > Principles of surgery and surgical conditions > Flashcards

Principles of surgery and surgical conditions Flashcards

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Introductory Sommelier Exam (CMS) flashcards
1
Q

How are referrals catagorised?

A

routine
soon
urgent

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2
Q

What is elective surgery?

A

non emergency surgery that is medically necessary, but can be delayed by 24 hours

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3
Q

what is emergency surgery?

A

undertaking surgical procedures at any time or day in patients whom it is medically necessary

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4
Q

what does NCEPOD mean?

A

national confidential enquiry into patients outcome and death

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5
Q

what does NCEPOD do?

A

protects patients by allocating resources
out of hours, non elective surgery
communication with theatre and anaesthetic staff

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6
Q

What are the categories of NCEPOD?

A

immediate- life or limb saving
urgent- intervention for acute onset or clinical deterioration
expedited- patient requiring early treatment wherre condition is not immediate threat to life or limb
elective- planned

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7
Q

What occurs when clerking a patient?

A

basic cardiovascular and respiratory exam
vital signs recorded
pre op bloods

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8
Q

who should marking be carried out by?

A

the operating surgeon

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9
Q

What do maintenance fluids cover?

A

normal intake
normal loses
insensible loses

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10
Q

what is the fluid requirements for a weight of 35-44kg?

A

1200 mls/ 24hr

50 ml/hour

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11
Q

what is the fluid requirement for a weights of 44-54kg?

A

1500 mls/24hr

65 ml/hour

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12
Q

what are the fluid requirements for a weight of 55-64kg?

A

1800mls/24hr

75 ml/hour

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13
Q

what are the fluid requirements fpr a weight of 65-74kg?

A

2100 mls/ 24hr

85 ml/ hour

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14
Q

what are the fluid requirements for a weight of over 75 kg?

A

2400 mls/ 24 hr

100 ml/ hour

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15
Q

what is the maximum amount of fluids possible?

A

100 ml/ hour

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16
Q

how are fluids maintained?

A

mix of sodium, potassium and glucose

17
Q

what is the preferred maintenance fluid? 500ml

A

0.18% NaCl 4% glucose + or - 20mmol K+

18
Q

what are the risks of fluuids?

A

overload
electrolyte inbalance
affects to coagulation

19
Q

What patients may be at risk of DVT?

A 
past history
mobility reduced
>60 years
active cancer
lower limb surgery
20
Q

What can be used at DVT prophylaxis?

A

low molecular weight Heparin
enoxaparin 40 mg / hour
early mobilisation and hydration

CJ CMS (17 decks)

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