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on 10-Nov-2019 (Sun)

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Flashcard 4526166904076

Question
Laparotomy:
Answer
[default - edit me]

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General Surgery Basics – Zero To Finals
Blog Books About Zero to Finals Tom Contact [emptylink] [emptylink] [emptylink] [emptylink] General Surgery Basics Home > Surgery > General Surgery > General Surgery Basics Definitions <span>Laparotomy: opening up to abdomen Laparoscopy: performing keyhole surgery on the abdomen Adhesions: scar tissue in the abdomen that attach its contents together (like spiderman’s webs) Volvulus: tw







Flashcard 4526169263372

Question
[default - edit me]
Answer
Biliary ColicAcute CholecystitisAcute Cholangitis

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Acute Abdomen – Zero To Finals
data-bubo-id="temp-selection">Biliary Colic Acute Cholecystitis Acute Cholangitis<span> Right Iliac Fossa Acute Appendicitis Ectopic Pregnancy Ovarian Cyst Meckel’s Diverticulitis Epigastric Pancreatitis Peptic Ulcer Disease Abdominal Aortic Aneurysm Central / Generalised







Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.
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Isotonic saline (0.9%) prevents [...] during [...] and [...] excreted by the kidneys; [...] added if loss expected e.g. Vomiting, [...]
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Dextrose (4%) and Saline (0.18%) useful in [...] as well as raising [...] ( [...] ) •
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Hartmann’s Solution – [...]
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Body weight on admission can also provide [...] ; Acute loss ≈ [...]
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Young, fit patients can receive [...] by [...] ; Slower for elderly to [...] o NB: Body fluid volume = 60% Body weight o Monitoring of Fluid optimisation – 1-hourly urine output; commonly used [...]
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Postoperative Nausea and Vomiting related to [...] ; Therapy aims to replace [...] loss via use of [...] (e.g. [...] ) although not as monotherapy as there is no single effective drug), avoidance of general anaesthetic
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Avoidance of [...] drugs e.g. [...] or use of [...] anaesthetics e.g. [...]
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Shock = [...] and [...] ; [...]
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Airway and Breathing, Check [...] pulse, start [...] and recheck [...] and identify [...]
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Hypovolaemic – Lie [...] , start [...] , repeat [...] IV, Take [...] and treat if [...] present [...]
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Flashcard 4526796573964

Question
Fluid balance and Requirements • [...]/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.
Answer
20 – 30ml

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Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.

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Flashcard 4526798146828

Question
Fluid balance and Requirements • 20 – 30ml/kg/day water, [...]/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.
Answer
1mmol

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Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.

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Flashcard 4526799719692

Question
Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, [...]/kg/day K, 50-100g/day Glucose.
Answer
1mmol

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Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.

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Flashcard 4526800768268

Question
Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, [...]/day Glucose.
Answer
50-100g

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Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.

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Flashcard 4526806535436

Question
Cardiogenic Shock – [...] ; Send [...] ▪ Fluid overload – [...]
Answer
[...]

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Cardiogenic Shock – [...] ; Send [...] ▪ Fluid overload – [...]

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1 SURG PERIOPERATIVE CARE

Fluid balance and Requirements

• 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose.

• At Risk patients – Acute presentation of diarrhoea and vomiting, reduced fluid intake, Elderly patients and patients with reduced renal reserve, Drugs that impair renal responses to fluid changes (e.g. Diuretics), Patients with low body weight/Children (↓Overall total body fluid)

• Isotonic saline (0.9%) prevents rapid cellular shifts during rehydration and excess sodium excreted by the kidneys; Potassium (e.g. Sando-K) added if loss expected e.g. Vomiting, Pancreatic or Small Bowel fistula

• Dextrose (4%) and Saline (0.18%) useful in energy supplementation as well as raising intracellular volume (Glucose influx into cells, glucose metabolism produces water)

• Hartmann’s Solution – Lower sodium than Isotonic, contains Potassium, Lactate and Calcium

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Flashcard 4526814399756

Question
[default - edit me]
Answer
SURG PERIOPERATIVE CARE Fluid balance and Requirements • 20 – 30ml/kg/day water, 1mmol/kg/day Na, 1mmol/kg/day K, 50-100g/day Glucose. • At Risk patients – Acute presentation of diarrhoea and vomiting, reduced fluid intake, Elderly patients and patients with reduced renal reserve, Drugs that impair renal responses to fluid changes (e.g. Diuretics), Patients with low body weight/Children (↓Overall total body fluid) • Isotonic saline (0.9%) prevents rapid cellular shifts during rehydration and excess sodium excreted by the kidneys; Potassium (e.g. Sando-K) added if loss expected e.g. Vomiting, Pancreatic or Small Bowel fistula • Dextrose (4%) and Saline (0.18%) useful in energy supplementation as well as raising intracellular volume (Glucose influx into cells, glucose metabolism produces water) • Hartmann’s Solution – Lower sodium than Isotonic, contains Potassium, Lactate and Calcium

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