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10 Cards in this Set
- Front
- Back
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When can a patient eat prior to major surgery?
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The patient should be NPO after midnight the night before or at least for 8 hrs before surgery.
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What risks should be discussed with all patients and documented on the consent form for a surgical procedure?
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Bleeding, infection, anesthesia; other risks are specific to the individual procedure
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If a patient is on antihypertensive medications, should the patient take them on the day of the procedure?
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Yes, (remember clonidine "rebound")
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If a patient is on an oral hypoglycemic agent (OHA), should the patient take the OHA on the day of surgery?
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Not if the patient is to be NPO on the day of surgery
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If a patient is taking insulin, should the patient take it on the day of surgery?
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No, only half of a long-acting insulin (e.g., lente) and start D5 NS IV; check glucose levels often preoperatively, operatively, and postoperatively
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Should a patient who smokes cigarettes stop before an operation?
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Yes, improvement is seen in just 2 to 4 weeks after smoking cessation.
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What laboratory test must all women of childbearing age have before entering the OR?
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Beta-HCG and CBC because of the possibility of pregnancy and anemia from menses
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What preoperative procedure should be performed before colon surgery?
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Bowel prep with colon cathartic (e.g., GoLYTELY), oral antibiotics (neomycin and erythromycin base), and IV antibiotic before incision
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What preoperative medication can decrease postoperative cardiac events and death?
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Beta-blockers!
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What must you always order preoperatively for your patient undergoing a major operation?
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1. NPO/IVF
2. Preoperative antibiotics 3. Type and cross blood (PRBCs) |
