Unit 1- Pre and Post Op Flashcards
Pre Op Evaluation
Get waiver signed, history, exam, diet, lab work, status, stabilization, pre surgery meds
Status
Surgical risk
Dietary Restriction
Withhold food 6-12 hours before but allow water
Elective Procedure Bloodwork
PCV, TP, and chemistries
Adult Bloodwork
CBC, chemistry panel, and UA
Senior Bloodwork
CBC, chemistry panel, UA, and T4
Liver Disease Bloodwork
Coagulation function test
ASA 1
Normal healthy patient
ASA 2
Patient with mild systemic disease
ASA 3
Patient with obvious systemic disease
ASA 4
Patient with severe systemic disease that is a constant threat to life
ASA 5
A patient that will not survive without the operation
Cerenia
Maropitant anti emetic
Pre Meds
Dexmedetomidine, midazolam, diazepam, hydromorphone, methadone, ketamine
Analgesia
NSAID, local anesthetic, and opioids
Halsted’s Surgical Principals
Asepsis, hemostasis, preservation of blood supply, gentle tissue handling, avoid tension on wound closure, accurately apposition tissue on wound closure, eliminate dead space
Clean Wound
Non contaminated, non traumatic, and non inflamed surgical site, GI, urinary, and respiratory tract not entered
Clean-Contaminated Wound
GI, urinary, or respiratory is entered under controlled conditions
Contaminated Wound
GI contents or infected urine spill into an open cavity
Dirty Wound
Old traumatic wounds with purulent discharge, devitalized tissue, hollow organ perforated
Chlorohexidine Scrub
4%
Povidone-iodine Scrub
10%
Where does skin prep occur?
The OR
Gold standard for antibiotics
Cytology
