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7 Cards in this Set
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Preoperative Evaluation |
1. Hx & PE Existing illness, prior surgery hx, op complications, medication 2. Pre op medication Continue meds till preop period except for anti diabetic, anti platelet, anti coagulation 3. Informed consent Explain abt the disease, procedure, benefit of procedure, possible complication & documentation 4. Preoperative test FBC, RFT, LFT, Coagulation profile, pregnancy test, chest xray, ecg, blood group. |
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Post Operative Care |
1. IV Fluid 2. Early mobilization 3. Chest physiotherapy To avoid pneumonia n atelectasis 4. DVT prophylaxis for major proceudre Fondaparinux, LMWH, UFH 5. Lab Test Fbc, rft, Coagulation test, daily ecg, chest xray |
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Mx of DM in surgery |
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Pain Mx in Surgical Pt |
Step 1 : Non opioid Eg. Pcm, aspirin, NSAID
Step 2 : Weak opioid (mild-moderate pain( Eg. Codeine
+/- non opioid +/- adjuvant (anxiolytic)
Step 3 : Strong opioid (moderate-severe pain) Eg. Morphine
+/- non opioid +/- adjuvant |
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Type of Blood Product |
1. Packed Red Blood Cells 2. Plasma / FFP 3. Cryoprexipitate 4. Platelet |
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Type of surgical wound contamination |
1. Clean: thyroid surgery, fibroadenoma excision
2. Clean-contaminated: appendicectomy, cholecystectomy
3. Contaminated: intestinal anastomosis, urine leakage during stone removal
4. Dirty: Colon surgery with spillage |
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When prophylaxis antibiotic given for surgery? |
0-2 hours before surgery |
