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Preoperative preparation.pptx
This document provides tips and instructions for using a PowerPoint presentation on preoperative preparation for surgery. It recommends: 1. Freely downloading, editing, and modifying the slides and adding your name. 2. Showing blank slides first to elicit what students already know about each topic before presenting content. 3. Repeating this process of showing blank slides, asking questions, and then presenting content for active learning over three revisions. 4. The presentation can also be used for self-study with notes providing bibliographic references.
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Preoperative preparation.pptx
- 1. Tips on usingmy ppt. 1. You can freely download, edit, modify and put your name etc. 2. Don’t be concerned about number of slides. Half the slides are blanks except for the title. 3. First show the blank slides (eg. Aetiology ) > Ask students what they already know about ethology of today's topic. > Then show next slide which enumerates aetiologies. 4. At the end rerun the show – show blank> ask questions > show next slide. 5. This will be an ACTIVE LEARNING SESSION x three revisions. 6. Good for self study also. 7. See notes for bibliography.
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- 3. Preoperative preparation • outpatientoffice visit to hospital inpatient consultation to the emergency department evaluation of a patient. • depending on the nature of the complaint and proposed surgical intervention,
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- 5. ROUTINE PREOPERATIVE PREPARATION FORSURGERY • History • Physical examination • Special investigation • Optimization • Informed consent • Marking the site/side of operation • Antibiotic prophylaxis • Shaving • Bowel preparation
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- 7. PREOPERATIVE EVALUATION • Aim: not to screen broadly for undiagnosed disease but rather to identify and quantify comorbidity that may impact operative outcome.
- 8. • PAST Hx H/O DM,TB, HTN Bronchial Asthma, MI HIV Any previous operation.or bleeding tendency Any previous reaction to anaesthetic agent DRUGS Hx Interaction with anesthesia Drugs for HTN ,IHD to be cont.over preoperative period Anticoagulant drugs (aspirin, warfarin)
- 9. •Personal history Smoking Alcohol Occupation Diet Family History HTN,DM , TB, ALLERGIC DISORDER , CA , etc
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- 11. PHYSICAL EXAMINATION • PALLORPULSE • ICTERUS B.P. • CYANOSIS BMI • JVP • CLUBBING • P.EDEMA
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- 13. SYSTEMIC EXAMINATION Cardiovascular ■ Pulse,blood pressure, heart sounds, bruits, peripheral pulses, peripheral oedema Respiratory ■ Respiratory rate and effort, chest expansion and percussion note, breath sounds, oxygen saturation Gastrointestinal ■ Abdominal masses, ascites, bowel sounds, bruits, herniae, genitalia Neurological ■ Conscious level, any pre-existing cognitive impairment or confusion, deafness, neurological status of limbs
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- 15. INVESTIGATIONS • CBC Grouping, •S.Creatinine,S.Electrolyte • RBS/HbA1c • HbsAg • HIV • Urinalysis. • Xray Chest • ECG Echo TMT Angiography • LFT,Clotting screen • TSH
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- 17. Optimization Control • Hypertension • Diabetesmellitus • Thyroid function • Ascites , coagulation abnormalities • Renal function Hemodialysis • Angioplasty • Adrenal insufficiency • Respiratory exercises
- 18. Optimization Pheochromocytoma • controlled bya combination of a- adrenergic and ß-adrenergic blockade
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- 20. Preop. Instructions • NPO •Enema • Shaving -NO • Start DVT prophylaxis • Bath • Arrange blood for transfusion • Predeposit
- 21. Patient on Medications Continue- •Antithyroid, • Eltroxin, • Antihypertensives, • Digoxin, • Beta blocker • Antipsychotic
- 22. Patient on Medications Stop •Omit morning dose of antidiabetic • Warfarin
- 23. Patient on Medications Clopidogrel+Aspirin ? • Stop if intracranial or post. chamber of eye operation
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- 25. Antibiotic prophylaxis • Cleansurgery –Single shot at the time of induction repeat if more than 3hours.
- 26. Marking the site/sideof operation
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- 28. Get this pptin mobile 1. Download Microsoft PowerPoint from play store. 2. Open Google assistant 3. Open Google lens. 4. Scan qr code from next slide.
- 29. Get this pptin mobile
- 30. Get my pptcollection • https://www.slideshare.net/drpradeeppande/ edit_my_uploads • https://www.dropbox.com/sh/x600md3cvj8 5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl =0 • https://www.facebook.com/doctorpradeeppa nde/?ref=pages_you_manage
Editor's Notes
- #2 drpradeeppande@gmail.com 7697305442