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Surgical Complications
Test 5 Sem 2
18
Medical
Graduate
03/09/2011

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Cards

Term
5 W's of surgical complications?
Definition
Wind-atelectasis, Walk, Water, Wound, Wow
Term
What is almost always the cause of a post-operative fever?
Definition
pulmonary (atelectasis, pneumonia, PE)
Term
If a wound infection occurs within a day of surgery what is the organism most likely?
Definition
Strep could be clostridia
Term
intra-abdominal abscesses would develop usually within what time frame following surgery?
Definition
10-14 days post-op
Term
What treatment do all intrahepatic abccesses require?
Definition
drainage
Term
peritonitis following GI surgery is often a result of?
Definition
anastomotic breakdown
Term
What on an abdominal flat plate is indicative of peritonitis?
Definition
presence of free air
Term
seromas are what and are common with what?
Definition
collections of non-bloody fluid collections after surgeries involving large skin flaps
Term
What wound infection bug is very serious and can lead to wound ischemia?
Definition
clostridia infections (crepitus and gas gangrene can occur).
Term
What are the most common problems experienced by people undergoing surgery?
Definition
Respiratory problems
Term
What is the most painful thoracic surgery?
Definition
Thoracotomy
Term
What is the most common cause of atelectasis?
Definition
Hypoventilation
Term
What is the most common cause of post-operative pneumonia?
Definition
aspiration
Term
What criteria predict a successful extubation?
Definition
1) PCO2 40 mm Hg or lower
2) Respiratory rate 15-25
3) Tidal volume 5-7 ml/kg
4) PO2 at least 65-70 mm Hg on room air
Term
Indications for urgent reintubation
Definition
1) increased respiratory rate >30-40 BPM
2) Low tidal volume <300 ml p/breath
3) PCO2 >50 mm Hg
4) PO2 <65 mm Hg
Term
What is a common cause of ARDS?
Definition
Massive trauma from fat emboli
Term
What is the definition of oliguria post-surgically?
Definition
<500 ml/day or <0.5 ml/kg/hr
Term
paralytic ileus is most common with what operation?
Definition
intraperitoneal operations
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