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14 Cards in this Set
- Front
- Back
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Pre-op risk assessment systems? |
1- CVS 2- Pulmo 3- hepatic 4- nutritional 5- metabolic |
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Top 3 predictors of worse prognosis of CVS in pre-op assessment? |
1- JVD=> CHF 2- Recent MI in prev 6 months 3- rhythm other than sinus rhythm |
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1-predictor of worse prognosis of resp in pre-op assessment? 2-Resp system pre-op evaluation? |
1-Smoking 2- PFTs If abnormal=> ABGs |
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NBSIM if a patient is smoker in pre-op evaluation? |
Smoking cessation for 8 wks Intensive resp therapy |
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Hepatic evaluation in pre-op assessment? |
Child-pugh score |
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Predictors of severe nutritional depletion in pre-op evaluation? |
1- albumin<3 2- loss of 20% body wt over 6 months 3- serum transferrin <200 mg/dl 4- anergy to skin antigens |
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Condition assessed in metabolic risk in pre-op evaluation? |
Diabetic coma |
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Rx of atelectasis? |
1- deep breathing & coughing 2- postural drainage 3- incentive spirometry |
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Causes of abd distension in post op period? |
1- paralytic ileus <5-7 days 2- Early mechanical obstruction 3- ogilvie syn |
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Factors that hamper fistula healing? |
FRIENDS 1- Foreign body 2- radiation 3- IBD or infection (Tb, actinomycosis) 4- Epithelialization 5- Neoplasm 6-Distal obstruction 7- steroids |
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Rate of I/V K for hypokalemia correction? |
10 meq/hr |
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Prohibitive EF in non cardiac elective procedures? |
<35% |
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Cause of death in pts with pre-op hepatic derangements? |
High output cardiac failure |
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Fever secondary to atelectasis developed on 1st post op day still present on 3rd post op day. Dx? |
PNA |
