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Preoperative care Ms. Niamh Bambury 05/02/09
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nutrition ,[object Object],[object Object],[object Object],[object Object]
The fasting state ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The fasting state ,[object Object],[object Object],[object Object],[object Object],[object Object]
Requirements in the healthy person ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Requirements in the healthy person ,[object Object],[object Object],[object Object],[object Object],[object Object]
Changes in calorific needs ,[object Object],[object Object],[object Object],[object Object]
Assessing nutritional status ,[object Object],[object Object],[object Object]
Body Weight and anthropometric techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical assessment ,[object Object],[object Object],[object Object]
Laboratory techniques ,[object Object],[object Object],[object Object],[object Object]
Feeding options ,[object Object],[object Object],[object Object]
Enteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral feeding ,[object Object],[object Object],[object Object],[object Object],[object Object]
Enteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Parenteral Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anaesthetic review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of cardiac function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of cardiac function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of cardiac function ,[object Object],[object Object],[object Object],[object Object]
Assessing respiratory function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lung Function Tests ,[object Object],[object Object],[object Object],[object Object]
1)Lung Volumes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2) Airway calibre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2) Airway calibre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3)Gas transfer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of Renal function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anaesthetic preview ,[object Object],[object Object]
50 Moribound 5 25 Incapacitating disease which is always life-threatening 4 4.5 Severe systemic disease that limits activity but isn’t incapacitating 3 0.4 Mild systemic disease that does not limit activity 2 0.05 Healthy individual 1 Mortality Definition ASA Grade
ASA grading ,[object Object],[object Object]
Planning postoperative pain management. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Analgesic Ladder ,[object Object],[object Object],[object Object],[object Object],[object Object]
Analgesic ladder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Analgesic ladder ,[object Object],[object Object],[object Object]
Analgesic ladder ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid and electrolytes ,[object Object]
 
 
 
 
 
 
 
 
Fluid and electrolyte balance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid replacement ,[object Object],[object Object],[object Object],[object Object]
Fluid replacement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid replacement ,[object Object],[object Object],[object Object]
Insensible losses ,[object Object],[object Object],[object Object],[object Object]
Fluid replacement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessing Fluid balance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Composition of crystalloids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Preoperative blood testing ,[object Object],[object Object],[object Object],[object Object]
Coagulation tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coagulation tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Medicine ,[object Object]
Transfusion Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood products ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cryoprecipitate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fresh frozen plasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of blood transfusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Disseminated intravascular coagulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIC cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of antibiotic administration ,[object Object],[object Object],[object Object],[object Object]
Benefits of antibiotic prophylaxis ,[object Object],[object Object],[object Object]
Risks of prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risks of prophylaxis cont’d ,[object Object],[object Object],[object Object]
Risks of prophylaxis cont’d ,[object Object],[object Object]
Indications for antibiotic prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antibiotic prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object]
How do the specific type of antibiotics translate into the need for antibiotics?
Predisposal to infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predisposal to infection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of wounds ,[object Object],[object Object],[object Object],[object Object]
Classification of wounds ,[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of wounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of wounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification of wounds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Overview

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Fwd: Bambury tutorial on preop assessment

  • 1. Preoperative care Ms. Niamh Bambury 05/02/09
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  • 37. 50 Moribound 5 25 Incapacitating disease which is always life-threatening 4 4.5 Severe systemic disease that limits activity but isn’t incapacitating 3 0.4 Mild systemic disease that does not limit activity 2 0.05 Healthy individual 1 Mortality Definition ASA Grade
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  • 81. How do the specific type of antibiotics translate into the need for antibiotics?
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