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Flashcards(/flashcards/browse/)Set56(http://www.proprofs.com/flashcards/browse/?set=20108)NMSSurgeryCasebookCh1Preoperative
Care

NMSSurgeryCasebookCh1PreoperativeCare
23cards
NMSSurgeryCasebookCh1PreoperativeCare

CreatedAug1,2010
byaelam6

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SideA

1 meaningofLBBB

2 meaningofRBBB
effectofpriorcoronaryartery
3 revascularizationonptoutcomein
anothersurgery
incidenceofcoronaryrestenosisafter
4 percutaneoustransluminalcoronary
angioplasty(PTCA)

SideB

NEVERanormalvariantandhighly
suggestiveofunderlyingischemicheart
disease
normalvariantin~10%ofthegeneral
populationbutmorefrequentlyseeninpts
w/significant...
mayreducetheriskofcardiac
complicationsinptswhohadthe
revascularization6mosto...
2535%at6mos

noncardiacsurgeryshouldprobablybe
managementofptneedingsurgery2days delayedforseveralweeksfollowingthe
5 s/pPCTA

angioplastyb/c...
>5PVCs/minareassocw/increased
cardiacmortality,mostlikelyrelatedtothe
underlying...
ifnewdx,lookforanunderlyingcauseof
managementofptw/afibonpreop
7
theafib,suchasCAD,CHF,orvalvular
cardiacworkup
heartdiseasept...
ascitescontrolledw/Ksparingdiuretics,
howtomedicallyoptimizetheptinliver
8
NaandH2Orestrictionserumelectrolytes
failurebeforeproceedingtosx
doneto...
ulcerduetopressurenecrosis,thus
managingachronicliverfailureptw/
9
increasingtheriskofrupturesoneedstogo
asciteswhohasaherniaw/anulceronit
toORexpediently...
effectofsxduringongoingtransplant
complicateoraggravatetherejection
10

implicationofPVCsonpreopcardiac
workup

deterioration
11

benefitsofwelldialyzedchronicrenal
failureptsinsx

12

effectsofuremiaonintraoperative
bleedingandhowtomanageit

13

stabilizingptw/oliguriaand
hyperkalemiaforsx

14

effectofchronic,compensatedmitral
stenosisonproceedingtosx

processandhastentheneedfordialysis
havethemostnormalizedplateletfxn,
hydrationstate,BPcontrol,andelectrolyte
status
uremiacanleadtoplateletdysfunctionand
intraoperativebleedingthatisnot
responsive...
IVcalciumgluconatetostabilizecardiac
membranesIVinsulinandglucosetoreduce
K...
mitralstenosis>increasedLatrial
pressure>pulmHTNandRheartfailure
>...
arteriallineandtransesophageal
echocardiography
prostheticheartvalvesprevious
endocarditiscomplexcongenitalheart
defectsprostheticvascular...

whattousetointraoperativelymonitora

ptw/CHFwhoneededemergentsurgery
highriskcardiacconditionsthatrequire
16 prophylaxisforSBEduringsome

noncardiacprocedures
moderateriskcardiacconditionsthat
rheumaticvalvulardiseasemitralvalve
17 requireprophylaxisforSBEduringsome
prolapsew/regurgHOCM
noncardiacprocedures
dentalworkw/bleedingresptract
noncardiacproceduresthatmayrequire
18
proceduresGItractproceduresGUtract
prophylaxisforSBE
prcedures
dental/oral/resp/esophageal:amoxicillin1hr
prophylacticregimensforbacterial
priororifPCNallergy,use
19

endocarditis
clindamycin/cephalosporin/clarithromycin
GI/GU...
decreasebacterialcountinthecolonto
whyareantibioticsusedinabowelprep
foracolonoscopy?whichonescanbe
20
reducecomplicationsoralnonabsorbable
antibiotics...
used?
15

21 benefitsanddisadvantagesofGolytely
FleetsPhosphoSodamechanism,
22 contraindicationsandpossible
complications/sideeffects
23

MagnesiumCitratemechanism,
contraindications,andtxoftoxicity

nonetabsorptionorsecretionofionsand
thusnochangeintheelectrolyteorwater
balanceolder...
M:hypertonicsodiumphosphatesolution
(hyperosmoticsaline)thatdrawslargeamts
offluid...
poorlyabsorbedosmoticagentthatdraws
fluidintothebowellumenptsinrenal
failurecan't...

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