Principles of surgery Ch 2 Flashcards
DM -prep patient for ?
Minor surgery
Major surgery
Emergency surgery
Steroids :
What are problems with chronic use ?
Mx of patient on steroids for surgery?
Addisonian ( hypoandrenal) crisis :
Def?
Who is at risk ?
Clinical features ?
Mx?
Surgery and heart disease
IHD : Important RF?
Surgery in renal impairment:
How to optimize elective patients?
Patients withestablished renal failure, ondialysis- how to optimize?
Hepatic impairment:
Common problem of liver failure?
What is classification used ?
Obstructive jaundice :
how to optimize?
Fluidoptimization:
Identifying patients inneed offluidoptimization?
Fluids used foroptimization?
Anaemia :
Classification
Diagnosis
Assessment and management ofanaemia
Treatment options forcorrection ofanaemia: pre op, post op
Nice guidelines transfusion protocol ?
Nutrition surgical patients :
Assessment ofnutritionalstatus:
Name methods?
Effects of malnutrition?
Types of support?
ERAS
What are areas of consideration ?
Prophylaxis
Thromboprophylaxis :
How to identify high risk
Management options
Knots and sutures :
Classify sutures?
Types of needle?
Packed red cells:
By how much can one unit of PRC increase Hb ?
Platelets :
By how much does one pooled platelets increase count?
FFP:
What does it contain ?
Dose that is given?
Cryoprecipitate:
What does one unit contain ?
By how much does it increase fibrinogen ?
Prothrombin complex concentrate :
What does it contain ?
Uses?
Antifibrinolytics :
Action ?
Indications ?
Transfusion reactions
Acute haemolytic reaction :
Pathophysiology ?
Presentation ?
Treatment?
Anaphylaxis :
Pathophysiology ?
Presentation ?
Treatment?
Non haemolytic febrile reaction :Pathophysiology ?
Presentation ?
Treatment?
Delayed extravascular haemolytic reaction
Def?
Trali
Def?
Pathophysiology ?
Infection
Bacterial vs Non bacterial ?
TACO :
Def?
Massive blood transfusion :
Define ?
Complications ?
Shock
Def?
Emergency management
Give the types of shock
Of each :
Causes
Presentation
Treatment