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SURGERY: PERIOPERATIVE CARE - Marcador
SURGERY: PERIOPERATIVE CARE - Detalles
Niveles:
Preguntas:
9 preguntas
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| If DKA, treat DKA Postpone surgery until RBS <20 unless life threatening Aim 7-11mmol/L during surgery Give D5% or DS+20mmol KCl 8 hourly + IVI Insulin sliding scale | How to prepare DM pt for emergency surgery |
| - hypoventilation - secretion retention - mental unrest | What happen if pt didnt given enough analgesia? |
| 1. IV cefobid 2g 2. IV Flagyl 500mg | Preferred antibiotic in our department |
| 1. IV cefobid 2g 2. IV Flagyl 500mg | Preferred prophylaxis antibiotic |
| 1. Once evidence of bowel movement (bowel sounds, flatus, BO) - encourage orally ASAP 2. Identify risk - malignancy, anorexia, alcoholism, GI surgery, starvation 3. Close monitoring during period of refeeding with involvement of nutritionist 4. Parenteral phosphate administration 18mmol/day in addition to oral supplement as in starved body, there is breakdown of fat and muscle, which leads to losses in some electrolytes like K, Mg, Phosphate | Refeeding syndrome is caused by rapid refeeding after a period of under nutrition. The syndrome occurs because of reintruducing of glucose or sugar. As body digest and metabolises food again, this can cause sudden shift in balance of electrolytes and fluids. How do prevent this in post op pt? |