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11 Cards in this Set
- Front
- Back
Wound infection most commonly occurs when post-op?
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4-6 days post-op
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Give the contributing organisms for the following wound infections:
1) Necrotizing fasciitis 2) Clostridial Myosistis What should tx include? |
1) Streptococcus (streaking erythema)
2) Clostridium perfringens Tx: surgical debridement + IV antibiotics |
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Necrotiing fasciitis in the perineum is also known as..?
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Fornier's gangrene
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Mild hypothermia...
Mod hypothermia... Severe hypothermia... |
Mild = 30-32 C (90-95 F)
Mod = 28 - 32 C = (82-90 F) Sev = 25 - 28 C = (77-82 F) |
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What is the first sign of malignant hyperthermia?
What is the preferred treatment? |
1st sign = increased end tidal CO2
rare, AD; fever, tachycardia, rigidity, cyanosis Tx: dantrolene, correct electrolytes, cooling blanket |
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What are the 6 W's of post-op fever?
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wound - infection, atelectasis
wind - pneumonia water - UTI walking - DVT/poss PE waste - abscess wonder drug - meds |
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What is the difference in presentation of post-op fever between non-infectious v. infectious?
What is the standard work-up? |
Non-infectious: w/in first 48-72 hrs
Infectious: POD 3-8 Work-up: blood cultures, Urine analysis, CXR, blood-alveolar lavage, Urine cultures, tylenol/motrin |
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What is the most common cause of fever w/in 48 hrs of surgery?
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Atelectasis
(collapse of peripheral alveoli d/t shallow tidal breaths---use incentive spirometry) |
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How is the risk of aspiration pneumonitis reduced during post-op?
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pre-op fasting, cricoid pressure, protonix (acid suppression)
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Give 2 medical options to prevent PE post-op...
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heparin
lovonox |
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What is the leading cause of death in any surgical patient?
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ischemia/infarction
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