Resident Readiness General Surgery (81 page)

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