Notes to myself – 2

Pentobarb coma – BIS should be 10-20 and SR (suppression ratio) should be 70-80 Consider lev albuterol Should give vaccines after coiling of spleen or before if possible No calcium channel blockers post MI definitely and post op in general Toradol inhibits spine healing Don’t do endoscopes with patients in supine position don’t ambulate patients with known dvt’s. wait 2-3 days until clots get stuck. dvt’s even with filter get heparin as much as possible for post phlebitic syndrome and to retard new clot formation diffuse alveolar hemorrhage – secondary to chemo, goodpasture’s, wegener’s, thrombocytopenia Imuran causes myasthenic type syndrome and thrombocytopenia use silver impregnated VAC’s only 2-3 times. when using VAC’s use dermabond on skin edges so no sucker bites. also use skin sealant. when think you might have PEG tube bleed, pull up balloon and blow it up to try to tamponade When taking down adhesions from a hernia, know that vessels in the omentum do not have lots of musculature in the walls and don’t respond well to bovie. they should be tied or ligated. They can temporarily stop bleeding and fall down in the abdomen when you are doing it open and then the patient is hypotensive in the PACU When taking down adhesions laparoscopically when fixing hernias, typically don’t do alot of bovie so that you don’t get delayed bowel injury. antibiotics in sepsis need to be given in the first hour. ...
Source: Inside Surgery - Category: Surgery Authors: Tags: General Source Type: blogs

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