Surgery I
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Most common PAC heard: | show 🗑
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| show | EKG to check for aortic stenosis
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| show | Infection
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| show | atrial fib
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| Common causes of post-op fever | show 🗑
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| Urinary retention | show 🗑
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| Pain | show 🗑
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| show | drain and/or wash it out
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| show | Fractional excretion of sodium
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| show | in the first 3 days postop
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| Risk of postop reinfarction: | show 🗑
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| show | 3 X PE; 11 X labs; 75-90% dx combined with PE
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| show | Pneumonia, UTI, wound infxn, DVT; CXR, UA C&S, LE venous ultrasound
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| show | DVT, wound infxn; Early ambulation, abdominal binder
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| show | Hyperglycemia; Diabetic diet, sliding scale insulin, accuchecks
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| show | Pneumonia, DVT, bedsores
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| show | S3 gallop / JVD; MI in last 6 mo; PACs on EKG; >5 PVCs / min; Intraperitoneal, intrathoracic, or aortic operations; Age >70 y.o.; significant aortic stenosis; Emergency operation; Poor medical condition
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| initial tx for post-op urinary retention | show 🗑
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| show | Look at pt (appearance, vitals); first 48 hrs, fluid bolus; if low output persists or S/S of hypovolemia: do CBC to r/o bleeding, also BUN/creatinine
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| show | If no IV fluids overnight: take no insulin or oral meds; if IV fluids given: no oral meds but half the usual insulin dose
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| To decrease atelectasis: | show 🗑
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Created by:
Abarnard
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