Surgery EOR: Preoperative/Postoperative Care 205 Review Quiz Queries With 100 Correct Answers
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Course
Surgery EOR
Institution
Surgery EOR
Which metabolic disturbance has HA and drowsiness? - ️️Respiratory acidosis
How is Warfarin dosed for DVT prophylaxis? - ️️Will vary from patient to patient. Goal INR is 2-3. Primarily used in ortho patients
How should patients on long term steroids be managed during surgery? - ️️IV d...
Surgery EOR:
Preoperative/Postoperative Care 205
Review Quiz Queries
Which metabolic disturbance has HA and drowsiness? -
✔ ✔ Respiratory acidosis
How is Warfarin dosed for DVT prophylaxis? - ✔ ✔
Will vary from patient to patient. Goal INR is 2-3.
Primarily used in ortho patients
How should patients on long term steroids be managed
during surgery? - ✔ ✔ IV drip of hydrocortisone at
10mg/hr or 100-mg q8hr provides adequate replacement
If a patient is on an oral hypoglycemic agent (OHA),
should the patient take it on the day of surgery? - ✔ ✔
Not if the patient is to be NPO on day of surgery
If a patient is on anti-HTN meds should the patient take
them on the day of the procedure? - ✔ ✔ Yes
Where does a DVT most commonly occur? - ✔ ✔
Lower extremities (Long saphenous vein)
Pelvis
,Where is Mg mostly found in the body? - ✔ ✔ Bones,
the rest is intracellular. Excess is excreted by the kidneys
Which antibiotic should be administered to cover
bacteroides? - ✔ ✔ Metronidazole
Which antibiotics are used for class 1 wounds? Class 2?
3? - ✔ ✔ 1 - 1st gen cephalosporin
Which metabolic disturbance has neuro symptoms and
ventricular arrhythmias? - ✔ ✔ Metabolic acidosis
Which metabolic disturbance has neuro symptoms,
paresthesias, carpopedal spasm, and light-headedness? -
✔ ✔ Metabolic alkalosis
Who gets a preop EKG? - ✔ ✔ Patients over 40 or
undergoing cardiac procedure
Why is it important to ask about tobacco, alcohol, and
illicit drug use/substance abuse? - ✔ ✔ It heightens
awareness about the possibility of postoperative
withdrawal. In general, patients should be advised to
refrain from taking illicit drugs for at least a couple of
weeks before an operation
,How do patients clinically present with hypovolemia? -
✔ ✔ Thirsty
Decreased urinary output
Tachycardia
Fatigue
Muscle cramps
Dizziness
Hypotension
If severe: ischemia, shock, lethargy, AMS
How do the kidneys regulate pH? - ✔ ✔ By
eliminating or replenishing H+ by altering plasma bicarb
concentrations
How do the lungs regulate pH? - ✔ ✔ By eliminating
or replenishing H+ in the body by altering CO2
elimination
How do you treat acute hyponatremia? - ✔ ✔ If acute
(<24 hours), give 100mL bolus of 3% NaCl and repeat Q10
min for up to 3 times until symptoms resolve.
, Fluid restriction, monitor volume status, calculate Na
deficit
How do you treat hypercalcemia? - ✔ ✔ Isotonic
saline if volume depleted
Bisphosphonates
Loop diuretics
Dialysis
Manage underlying cause
How do you treat hyperkalemia? (6) - ✔ ✔ Correct
hyperkalemia first, then underlying cause:
IV administration of D50, 10 units of insulin, and calcium
gluconate (to stabilize heart)
Albuterol
Loop diuretics
Kayexalate
Stop offending drugs and start low K diet
Dialysis - if all of the above fails
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