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Flashcards in Ashley's random factoids - feel free to ignore Deck (38)
1

Timing of wound dehiscence

1 week

2

What is the most common cause of fever POD 1 & 2

atelectasis

3

Bad thing after long bone fx, joint replacement

fat embolism

4

Bad thing when placing central line

air embolism - air lodges in right atrium - place in Trendelenburg while placing central line

5

Common cause of fever POD 3+

IV phlebitis

6

give what for massive hemorrhage

whole blood

7

give what to raise hematocrit

PRBCs

8

give what for warfarin overdose

FFP (coag factors & plasma proteins)

9

what's so bad about Demerol

active neurotoxic metabolites

10

narcotics, strongest to weakest

Fentanyl-Dilaudid (hydromorphone)-Percocet (oxycodone)-morphine-tramadol-Tylenol w/ codeine

11

HIDA scan is aka

cholescintigraphy
Hepatobiliary Iminodiacetic Acid Scan

12

why do HIDA scan

cholecystitis, neonatal hepatitis, biliary atresia

13

core needle bx for

breast

14

fine needle aspiration for

body fluids, seromas, thyroid nodules

15

give what for staph/strep cellulitis

penicillin or 1st gen ceph

16

gas gangrene bacteria

C. perfringens

17

hemorrhagic bullae in

necrotizing fasciitis

18

abnormal communication between two epithelialized surfaces

fistula

19

basic approach to burns

cleanse
debride
topical antimicrobials
dressing changes

20

stuff you can put on burns

xeroform
silver sulfadiazine
polysporin
chlorhexidine
povidine-iodine
mafenide
Dakins' solution

21

biggest baddest burn complication

multiple organ dysfunction syndrome secondary to hypoperfusion (early) or sepsis (late)

22

pros of G tube

more physiological
easier to place
can give continuous bolus

23

need J tube instead of G tube if

if recurrent aspiration of gastric contents
regurgitation
delayed gastric emptying

24

when consider PEG/PEJ

if enteral support will be needed more than 4-5 weeks

25

ONLY USE TPN IF:

GI tract cannot be used or no oral intake for 7-14 days

26

what is 'acute abdomen'

sudden, spontaneous, nontraumatic disorder manifesting in abdominal area for which urgent operation may be necessary

27

examples of acute abdomen

acute appendicitis
bowel obstruction
cholecystitis
cancer
vascular stuff

28

some signs that surgery is needed (acute abdomen)

acidosis
distension
fever, tachycardia
increasing tenderness
mass
hardness
pneumoperitoneum
perforation
paracentesis w/ blood, bile, pus, urine, poop

29

normal ankle-brachial index (ABI)

1.0 or greater

30

ABI with claudication

< 0.6

31

ABI with rest pain

< 0.4

32

medication for claudication

pentoxifylline
increases RBC flexibility

33

surgical options for claudication

1. bypass graft
2. balloon dilation (angioplasty)
3. endarterectomy (remove diseased intima & media)
4. surgical patch angioplasty (place patch over stenosis)

34

what is blue toe syndrome

intermittent painful blue toes secondary to microemboli from a proximal arterial plaque

35

what is best suture for vascular anastomosis to prosthetic graft

synthetic nonabsorbable

36

what is best suture for GI anastamosis

synthetic absorbable

37

electrolyte complication of thyroidectomy

HYPOcalcemia
(parathyroids get gone/annoyed -> hypoparathyroid -> hypocalcemia)

38

Meckel diverticulum rule of 2s

2% of population
2% symptomatic
within 2 feet of ileocecal valve
2 inches in length
2:1 M:F