Prophylaxis: VTE and antibiotics

Question 1

Why are prophylactic antibiotics given

Answer 1

To prevent wound infection or if prosthesis

Question 2

What is given to all patients as VTE prophylaxis

Answer 2

TED Stockings

Question 3

What is given to majority of patients prior to surgery

Answer 3

LMWH

Question 4

If moderate risk of VTE, what dose of LMWH is given

Answer 4

20mg

Started 2h prior to surgery

Question 5

If high risk of VTE, what dose of LMWH is given

Answer 5

40mg

Started 12h prior to surgery

Question 6

What patients may need bowel prep

Answer 6

Those undergoing colorectal surgery

Question 7

What is the risk with bowel prep

Answer 7

Causes fluid shift - may precipitate or cause dehydration in elderly, RF patients, Cardiac patients

Question 8

What bowel prep are patients who have undergone a left hemicolectomy or AP resection given

Answer 8

Phosphate enema the morning of surgery

Question 9

What bowel prep are patients undergoing a anterior resection given

Answer 9

Picolax prior to surgery and enema the morning of surgery

Question 10

If patients have MRSA in their nose what are they given

Answer 10

nasal mupirocin

Question 11

what antibiotics may patients may be given if MRSA colonisation

Answer 11

Tecioplanin or Vancomycin