SURGICAL COMPLICATIONS Flashcards

1
Q

wound

collection of liquefied fat, serum and lympathic fluid the incision

drainage of yellowish fluid, occasional clear fluid

A

seroma

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2
Q

in relation to seroma
_____: synthetic mesh to be taken into consideration

A

hernioplasty

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3
Q

wound

abnormal collection of blood, usually in subcutaneous or in a potential space in a cavity

A

hematoma

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4
Q

wound

postoperative separation of the abdominal musculoaponeurotic layers

mostly occurs approx. 7-10 days

A

wound dehiscence (abdomen

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5
Q

infection that occurs after surgery in the part of the body where surgery was done

may be both internally and externally that involves the entire operative site

A

surgical site infection

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6
Q

prevention of wound dehiscense

A

interrupted suturing

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7
Q

SURGICAL SITE INFECTION TYPES:

_________: including skin and subcutaneous tissue
_________: including fascia and muscle
_________: including internal organs of the body if the operation includes that area

A

superficial
deep
organ space

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8
Q

THERMAL REGULATION

_________ (<35 C) is due to exposure of skin and organs to
a cold operating environmeny
volatile skin prep
infusion of cold IV fluids

A

hypothermia

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9
Q

hypothermia

a hypermetabolic response to potent inhalation agents and the depolarizing muscle relaxant __________

A

succinylcholine

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10
Q

treatment of acute malignant hyperthermia

prepare and administer ___
______/dose

A

dantrolene
2.6 mg/kg initial dose

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11
Q

GASTROINTESTINAL

prolonged, transient absence of bowel function after abdominal surgery

clinical presentataion
nausea, vomiting, abdominal distention, bloating, delayed passage of flatus

A

post operative ileus

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12
Q

prevention for post operative ileus is to__________

A

lessen tissue handling; minimize injury

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13
Q

surgery is one of the main causes of _________(DVT)
longer operations
surgeries of the hips and legs

A

deep vein thrombosis

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14
Q

___________ ultrasound is used to assess flow and presence of thrombosis

A

venography or duplex dropper ultrasound

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15
Q

pulmonary complications

A
P
A
H

A

atelectasis
pneumonia
aspiration pneumonitis
hypoxemia

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16
Q

PULMONARY COMPLICATIONS

GERD patients food in stomach or position of the patients

intestinal obstruction, pregnancy

A

aspiration pneumonitis

17
Q

RENAL
_________ of cases of hospital acquired renal failure occur in the perioperative period and are associated with high mortality especially after cardiac and major vascular surgery

A

25%

18
Q

diagnostic criteria for acute renal failure

serum creatinine lvl > _______ baseline
decrease urine output <_____ ml/day

A

1.5x baseline
<500 ml/day