SURGERY REFRESHER AND QM 2 Flashcards
MOST COMMON SERIOUS COMPLICATION OF TPN USE
INFECTION OR SEPSIS
SIRS CRITERIA
TEMP >38 / <36
HR >/=90
RR >/= 20
WBC >/=12000/UL
QSOFA
RR > 22/MIN
ALTERED SENSORIUM = GCS 14
SBP =100
FIRST line vasopressor in sepsis
Norepinephrine
Initial resuscitation rates in adult w hypotension
Crystalloids 30cc/kg
Initial resuscitation rates in pediatrics w hypotension
Crystalloids 20cc/kg
Presence of organisms on the surface of a wound?
Contamination
Most common cause of fever d1 post op
Atelectasis
Phase of wound where there is establishment of tisue continuity, pdgf is the strongest chemotactic factor and deposition of type iii collagen
Proliferation
Most common indication for intubation
Altered sensorium
Components of secondary surver
Allergies
Medications
PMH
Last meal
Event/environment
Traumatic bleeding beneath the inner dural layer
Subdural hematoma
Shape of subdural hematoma on ct scan
Crescent
Tube thoracostomy location?
4th-5th MAL ICS
Flail chest
3 or more ribs in 2 or more locations
Indication for thoracotomy in hemothorax
> 1000mL in penetrating injury
1500mL in blunt injury
Ongoing drainage of >200cc/hr for 3 consecutive hours
Ml of blood that may cause tamponade
100mL
Approximate mL of blood lost in femoral fractures
800-1000mL
Carotid pulse is palpable
60
Organ most susceptible to blunt trauma
Liver
Initial evaluation for patient with blunt abdominal trauma
FAST
Bladder pressure of abdominal compartment syndrome
35 mmHg