Nutritional and fluid needs and options for replacement. Potential complications: prevention strategies. Patient support systems and options for post hospital care. POST-OPERATIVE COMPLICATIONS – OBJECTIVES: Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Intraoperative - malignant hyperthermia Within 24 hours - response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia) catheter related complications (IV-phlebitis, Foley-UTI) After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, acalculous cholecystitis, parotitis) noninfectious (deep vein thrombosis) Discuss the following wound complications in terms of predisposing risk factors (patient condition, type of operation, technique), as well as their recognition, treatment, and prevention: hematoma and seroma wound infection dehiscence incisional hernia Discuss the various causes of respiratory distress and respiratory insufficiency that may occur in the postoperative patient. For each complication, describe the etiology, clinical presentation, management, and methods of prevention: atelectasis pneumonia aspiration pulmonary edema ARDS pulmonary embolism (including deep venous thrombosis) fat embolism Discuss the diagnostic work-up and treatment of oliguria in the postoperative period. Include pre-renal, renal, and post-renal causes (including urinary retention). Discuss the possible causes of hypotension which may occur in the postoperative period. For each etiology describe its pathophysiology and treatment: hypovolemia sepsis cardiogenic shock - including postoperative myocardial infarction, fluid overload, arrhythmias, pericardial tamponade medication effects
Nutritional and fluid needs and options for replacement. Potential complications: prevention strategies. Patient support systems and options for post hospital care. POST-OPERATIVE COMPLICATIONS – OBJECTIVES: Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Intraoperative - malignant hyperthermia Within 24 hours - response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia) catheter related complications (IV-phlebitis, Foley-UTI) After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, acalculous cholecystitis, parotitis) noninfectious (deep vein thrombosis) Discuss the following wound complications in terms of predisposing risk factors (patient condition, type of operation, technique), as well as their recognition, treatment, and prevention: hematoma and seroma wound infection dehiscence incisional hernia Discuss the various causes of respiratory distress and respiratory insufficiency that may occur in the postoperative patient. For each complication, describe the etiology, clinical presentation, management, and methods of prevention: atelectasis pneumonia aspiration pulmonary edema ARDS pulmonary embolism (including deep venous thrombosis) fat embolism Discuss the diagnostic work-up and treatment of oliguria in the postoperative period. Include pre-renal, renal, and post-renal causes (including urinary retention). Discuss the possible causes of hypotension which may occur in the postoperative period. For each etiology describe its pathophysiology and treatment: hypovolemia sepsis cardiogenic shock - including postoperative myocardial infarction, fluid overload, arrhythmias, pericardial tamponade medication effects
SurgJURSIManual2015.docx