podiatry boards 2
Card Set Information
podiatry boards 2
chapter 20 pre peri post op LAbs management
Your patient has a hight bun and CR you do a urine tests, there are epithelial cells. what does this mean?
you patient who has stomach pain has a WBC of 10,000 with 1,000 eosonophils, what might be the etiology of the stomach pain?
What would you worry about with a patient who has a 6.0 potassium in surgery? what would you see on EKG
Peaked T waves
normal value should be 3.5 -5.5
WHat does hyponatremia (below 135-145) mean?
the blood is watered down so it means there is excess volume.
Golgin says restrict water in this situation
your patient has 4,000 platelets what might you do?
they are likely getting a bone marrow transplant, they may allready be bleeding, give platelets.
1 bag gives raises the platelet level 5500 in a 200 lb patient. so usually give a couple.
Your patient may die of cancer any day, your anestesiologist says what is ASA American society of anesthesiologists surgical risk classification?
II HTN essensial , DM
III, COPD or angina
IV may die from an illness any day
V expected to die from illness with in 24hours
VI allready dead awaiting organ harvest
When CBC and Chem 7 values get to what level elective surgery should be canceled?
HGB 10 gm/dl this is very controversial, SOME docs wound consider giving whole blood, many docs won't because it has not been shown to be effective in changing the course of
HCT 30% or less
WBC <2400, > 16,000/mm3
Neutropenia <1,000/mm3 Normal was 57-67% of the normal 4-10,000 range
Plates <50,000 - 100,000
K+ 3.5 -5.1 is normal
glucose reccomendation range from <150- <180 <200, I always hear<200, aviod long acting insulins. Dextrose can be given to increase sugar (dex is an isomer of glucose)
BUN >18 worry about renal insufficiency >50 cancel surgery according to Pocket Pods (PP)
Cr 1.2/3.0 & greater renal insufficiency normal is 0.6-1.2
Kreatine Kinase increased levels may indicate malignant hyperthemia
you are operating on a rhematiod patient doing a pan met head ressection what special hormone might you need to give this pt
if they have been taking 7.5 or greater mg of presnisone for more than a few weeks the pituatary adrenal axis will be shut down. so you better help
What are some risk factors to having cardiac complications?
CHF noted by an s3 of jugular venous distension
>5 pvc's per minute
>70 years oldCoronary disease,
MI within last 6 months
Who should get prophylaxed for endocarditis whilst undergoing sugery.
those with valvular heart disease
iv pen or 1st gen ceph
if PCN allergic
: Clinda300 preop 150 post op
what are cuases of the following post op fevers?
0-6 post op
intra op -
post op Pain
Rebound from cold OR
24-48 hrsAtelectasis?? some people say this doesnt really cause fever