Preop care

Question 1

what are 4 key questions for before surgery

Answer 1

1. reccomendation
2. what are all the options
3. risk/bene of each option
4. if PT decides to have surg., how will proceed

Question 2

3 key points to consent

Answer 2

1. optiions
2. risks
3. benefits

Question 3

4 major opertive risks in most surgeries

Answer 3

1. SSinfections
2. DVT
3. blood transfusions
4. CAD evaluation

Question 4

most infectied surgeries

Answer 4

colorectal

Question 5

presentation of infection

Answer 5

erthyma, pain, swelling

Question 6

5 keys to prevent SSI

Answer 6

1. timely and approprate AB
2. normothermia
3. hair removal method
4. FiO2
5. skin prep solution

Question 7

key points with AB

Answer 7

in the OR within 60min of incision

- redose q4-8hrs

Question 8

key to normthermia and how to

Answer 8

• maintain temp >36
• warming blankets pre-op
• increase OR temp
• bear hugger
  IV fluid warmer

Question 9

outcomes from warmth (3)

Answer 9

1. less SSI
2. less collagen dep
3. less time to eat

Question 10

best way to remove hair

Answer 10

clippers right before surg

Question 11

best skin prep

Answer 11

chlorhexidine

Question 12

most common cause of death post op

Answer 12

• DVT - 15-30% without prophylaxis

Question 13

2 types and SE

Answer 13

1. DVT -
   - swelling, pain
2. PE
   - SOB, tachy, febrile, decreased o2

Question 14

risk factors for DVT

Answer 14

• type and length of surg
• CA
• age
• immobolity
• trauma
• peggers

Question 15

best choice to prevent DVT

Answer 15

Low mol heparin

- once daily

Question 16

3 risks of infusions

Answer 16

1. HIV
2. hep C
3. transfusion reactions

Question 17

3 ways to prevent transfusion probs

Answer 17

1. autologous transfers (rare)
2. pre-op iron - oral or IV
3. pre-op EPO

Question 18

diet pre-op

Answer 18

NPO at midnight

- no fluid 2 hours

Question 19

3 things for all patients getting abdo surg

Answer 19

1. CXR
2. ECG
3. review for modifiable CAD

Question 20

use of bowel prep for surg

Answer 20

not needed