Resident Readiness General Surgery (81 page)

Read Resident Readiness General Surgery Online

Authors: Debra Klamen,Brian George,Alden Harken,Debra Darosa

Tags: #Medical, #Surgery, #General, #Test Preparation & Review

BOOK: Resident Readiness General Surgery
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Diverticular abscess
antibiotics,
80
mental status changes,
77
–81
respiratory support,
79
resuscitation and cardiovascular support,
79
–80
sepsis,
77
–80
tips to,
80
–81
Dobhoff (feeding) tubes,
213
Document,
30
Dopamine antagonists,
152
,
153
Doppler probe,
116
Drain management
closed-suction drain, remove,
295
closed-suction systems,
295
decision to remove,
293
,
294
image-guided percutaneous drains,
295
    catheter,
293
,
295
Jackson-Pratt (JP) drain,
293
locking suture, catheter for,
295
,
296
narrow-bore closed drainage systems,
293
passive abdominal drains,
294
penrose,
294
principles of,
293
–295
DVT prophylaxis,
291
deep venous thrombosis,
289
heparin,
291
heparin-induced thrombocytopenia (HIT),
290
patient’s risk profile,
289
pneumatic leg compression,
289
,
290
postoperative orders,
289
–290
risk of,
291
risk of recurrent,
287
Dyspnea,
163
,
281
Dysrhythmia,
171
E
Edema,
268
ED nurses,
42
,
45
Effective delivery method,
146
EKG
checking,
63
,
165
leads,
187
Electrocautery, pacemaker,
181
–182
Electrolyte abnormalities,
253
–260
symptoms and signs of,
254
t
Electrolytes,
253
Electrolyte shifts,
170
Electronic medical record (EMR),
37
Emergency department (ED),
39
,
77
,
113
,
129
,
185
Emollient laxatives, for constipation,
231
Emotional crisis,
15
Emotional dysregulation,
309
Endocrine surgery service,
297
End-organ dysfunction,
135
End-organ hypoperfusion,
151
Endotracheal tubes (ETT),
43
,
156
–157
End-stage renal disease,
116
Enoxaparin,
290
DVT prophylaxis,
290
Epistaxis, platelet disorder,
349
t
ER, blood pressure
and heart rate,
69
–75
shock,
69
–74
tips to,
74
Errors.
See
Medical errors Erythema,
268
Escharotomy,
131
Esophagogastric tubes,
157
–158
Euglycemia,
333
Exendin-4,
279
Exertion,
281
External pacemakers,
178
Extraluminal gas,
217
Extraluminal intraperitoneal gas,
216
F
Factitious disorder,
311
,
312
Family planning,
15
Fascial necrosis
feature of,
267
risk for,
267
Fasciotomies,
119
Fasciotomy,
118
FAST exam,
189
Fecal impaction, in constipation,
231
–233,
232
f
Feeding tube,
217
f
Fever,
332
algorithm for,
263
causes of,
261
etiology by postoperative day,
262
t
etiology of,
264
–265
postoperative,
261
–265
Fixed-rate pacer stimulus,
181
Flagyl,
59
Flexibility,
17
Fluid losses,
249
t
Fluoroquinolone,
65
Focal abdominal tenderness,
52
Fogarty catheters,
118
Foley catheter,
88
,
262
Foreign bodies,
43
Foreign red blood cell antibodies,
92
Fractional excretion of sodium (FENA),
237
Frank-Starling relationship,
194
,
194
f
Functional constipation
causes of,
226
diagnostic criteria,
226
medication, side effects,
226
red flag symptoms in,
227
Rome III criteria for,
226
–233
structural abnormalities,
226
Furosemide (Lasix)
use in postoperative oliguria,
235
G
GABA activity,
122
Gastrografin,
229
Gastrointestinal hemorrhage,
274
Generalized peritonitis,
64
findings for,
66
nonsurgical causes of,
64
,
65
t
surgical causes of,
66
General surgery, butter procedures in,
33
General surgery service,
133
GI endoscopic procedures,
283
Glanzmann thrombasthenia,
349
,
350
f
Glasgow Coma Scale (GCS),
43
,
44
t
Glitazones,
279
Glucagon,
197
Glucocorticoids,
80
dependent patients,
274
Glucocorticosteroids,
273
equivalent dosages,
274
t
Glycemic control,
277
Goal-directed therapy (GDT)
principles,
236
protocol,
72
,
73
,
91
    principles,
74
Google Calendar,
14
Gum chewing,
83
H
HCT
red blood cell transfusions,
91
–93
surgery with,
91
–94
tips to,
93
Health
eating habits,
10
–11
good sleep,
11
taking care of,
10
–11
walking,
11
Heart failure, acute postoperative,
193
–197
Heart rate, drugs uses,
170
t
Hemophilia A,
349
Hemophilia B,
349
Hemorrhage,
43
,
202
Heparin
bridging therapy,
284
–285
kidney transplant,
291
low-molecular-weight,
290
Heparin-induced thrombocytopenia (HIT),
290
Hepatic dysfunction,
69
Hepatitis,
52
Hepatojugular reflex,
196
Hernias,
84
,
281
plavix and warfarin,
282
–283
repair,
281
,
282
HIDA scan, gallbladder on,
54
HIPAA clearances,
317
Homans’ sign,
263
Host-related factors,
103
How Big A Deal If You Miss It
(HBADIYMI),
166
diagnoses with,
166
Human T-cell lymphotropic virus (HTLV),
96
Hunter’s canal,
116
Hydralazine, drawback of,
210
Hydrocortisone
Crohn disease,
275
–276
hypokalemia,
274
moderate-stress procedures,
274
therapy, complication,
276
Hydromorphone,
307
Hypaque,
229
Hyperbilirubinemia,
53
Hypercarbia,
206
Hyperechoic masses,
54
f
Hyperglycemia,
333
Hyperkalemia,
256
–257
ECG abnormalities of,
257
f
effects of,
257
treatment of,
257
Hyperlipidemia,
253
Hypermagnesemia, definition of,
258
Hypernatremia,
255
treatment of,
255
Hyperphosphatemia, definiton of,
259
Hypertension (HTN),
142
,
196
,
253
,
285
acute treatment of, pharmacologic options for,
209
t
causes of,
210
history of,
202
,
206
Hypertensive crisis,
195
Hypokalemia,
255
ECG abnormalities in,
256
f
hydrocortisone,
274
signs and symptoms,
255
treatment of,
256
Hypomagnesemia,
258
Hyponatremia,
254
Hypoperfusion,
69
Hypophosphatemia,
258
Hypotension, cardiac cause of,
203
Hypotension, postoperative
in immediate postoperative period,
201
–203
Hypothalamus–pituitary–adrenal (HPA),
273
Hypothermia,
206
,
333
Hypotonic solutions,
248
,
251
Hypovolemia,
142
,
202
,
236
Hypoxemia, reasons for,
162
I
Ideal body weight (IBW),
250
Iliac artery,
114
Image-guided drain placement,
136
Incision and drainage (I&D),
102
Information process,
25
,
35
Inspiration, cessation of,
52

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