Surgery Flashcards
pulsatile mass, bruit heard on auscultation
old man, smoker
AAA
transfusion for AAA
packed red cells
platelets
fresh frozen plasma
what is the biggest risk factor for keloid development
race (pigmented skin)
normal urine output
0.5ml/kg/hr
numbness and muscle cramps post thyroid surgery
Mx
transient hypocalcemia is normal
VBG or bedside ECG
after 24 hrs it should resolve
what causes poor wound healing
radiotherapy
post op PE with haemodynamic instability
how to Mx
- infusion of unfractionated heparin
- thrombolysis
what score is used to calculate risk of post op nausea and vomiting
Apfel score
female
non smoker
previous post op N and V
post op opioid use
causes of post op fever
4Ws
Wind: pulmonary: PE, pneumonia, aspiration
Water: UTI
Wound: wound infection
What did we do: iatrogenic: infection, transfusion reaction
rules surrounding eating before surgery
clear fluids up to 2 hrs before surgery
non-clear fluids and food up to 6 hrs before surgery
if can’t tolerate morphine post op give…
oxycodone
femoral hernia Mx and when
surgical repair in 2 weeks
in what blood vessel should TPN be given
subclavian line
stoma that is flush to the skin
colostomy
stoma that is spouted out of skin
ileostomy
surgical procedure to dilate faeces away from the healing anastamosis, intention to correct this at a later date
loop ileostomy
