Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Myomectomy & Heparin

OBGYN Surgical Procedures

What are the layers of the anterior abdominal wall? Skin to subcutaneous tissue, to superficial fascia, to external oblique muscle, to internal oblique muscle, to transversus abdominis muscle, to transversalis FASCIA, to preperiton adipose and alveolar tiss to peritoneum
What is the main non-anaesthetic complication in myomectomy? haemorrhage
give 2 ways in which this complication can be reduced 1. Intraoperative vasopressin into surrounding arteries 2. Preop GnRH to reduce size of fibroids 3. Blood transfusion
4 non-anaesthetic complications that occur in the first 5 days postop 1. Haemorrhage 2. Atelectasis 3. UTI/thrombophlebitis 4. Wound infection
Post op orders for next 24 hours or a pt under GA 1. Clear fluids as tolerated 2. Ambulate as tolerated 3. Maintenance IV fluids (0.9% NS D5W) 4. Medications: Analgesia , Antiemetics, Antibiotics, VTE prophylaxis
what dose of heparin would u give as VTE prophylaxis 5000 units sc `q8-12 hrs
dose of heparin in vte therapy Bolus: 80 units/kg infusion: 18 units/kg/hr
long term gynaecologic complication of myomectomy infertility
For an obstetric patient on VTE prophylaxis, what is your main concern preop? when is it safe to perform surgery without increasing the risk of hemorrhage? when is it safe to do Sx w/o increasing the risk of thromboembolism (eg, venous, arterial) after discontinuing treatment? aka Balance b/w bleed & clot
how would you preop prepare a pt on VTE prophylaxis? (wanted 4 points) Determine risk of bleeding/VTE: 1. Coag profile: bleeding, clotting time, PT, PTT 2. Discontinue heparin preoperatively 3. Reserve 4 units of crossmatched PRBCs 4. VTE prophylaxis with thromboembolic stockings
Created by: IonaDel