Introduction to Perioperative...

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Introduction to Perioperative Management

Transcript of Introduction to Perioperative...

Page 1: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

IntroductiontoPerioperativeManagement

Page 2: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Outline• PainManagement• PerioperativeMedications• PerioperativeFluidManagement• Diet• FoleyCatheters• VTEProphylaxis• Antibiotics• GlycemicControl

Page 3: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 4: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 5: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 6: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 7: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 8: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PainManagement

Page 9: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

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PerioperativeMedications

• Beta-blockers:mustbecontinuedperiop (holdfor↓HRorBP)butdoNOTstartnewBB• Aspirin:likelynobenefitperiop (noeffectondeathorAMI,increasedbleeding)• Anticoagulation:Bridgingvs.nobridging.

Page 11: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 12: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 13: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

Page 14: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeFluidManagement

Page 15: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

PerioperativeMedications

• Associatedwithhyperchloremic metabolicacidosis• Beneficialinclosedheadinjury

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PerioperativeFluidManagement

Page 17: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Transfusions

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Diet

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TPNandTubeFeeds

• ConsultDietician• Learntodothecalculationyourself

Page 20: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

TPNandTubeFeeds

Page 21: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

TPNandTubeFeeds

Page 22: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Urinary(Foley)Catheters

Page 23: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Urinary(Foley)Catheters

Page 24: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

VTEProphylaxis

Page 25: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

Antibiotics

Page 26: Introduction to Perioperative Managementmed.stanford.edu/.../2017Orientation/-V-Periop-Management.pdf · Introduction to Perioperative Management. Outline •Pain Management •Perioperative

GlycemicControl

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GlycemicControl


Cell-Injury Periop Course Revisedok

Cell-Injury Periop Course Revisedok

Positioning the Periop Patient Source : Phippen, M.L. & Wells, M.P. (1995). Perioperative nursing handbook. (p. 165-167).

Positioning the Periop Patient Source : Phippen, M.L. & Wells, M.P. (1995). Perioperative nursing handbook. (p. 165-167).

Periop nursing july2011

Periop nursing july2011

Periop mi final

Periop mi final

How to Keep Your Surgeon Out of Trouble: …crna.sulli.us/files/PreOp Assessment/Periop risk...How to Keep Your Surgeon Out of Trouble: Perioperative Medicine: Risk Stratification

How to Keep Your Surgeon Out of Trouble: …crna.sulli.us/files/PreOp Assessment/Periop risk...How to Keep Your Surgeon Out of Trouble: Perioperative Medicine: Risk Stratification

Update in Perioperative Medicine Electronic Handout - SGIMimpak.sgim.org/userfiles/file/AMHandouts/AM05/handouts/CU06.pdf · – Preop; postop days 1,3,7,d/c • CPK, ... • 35 periop

Update in Perioperative Medicine Electronic Handout - SGIMimpak.sgim.org/userfiles/file/AMHandouts/AM05/handouts/CU06.pdf · – Preop; postop days 1,3,7,d/c • CPK, ... • 35 periop

CHAPTER Cardiac Evaluation Pulmonary Evaluation Periop Beta Blockers SBE Prophylaxis DVT Prophylaxis Periop Medication Management Management of Longterm.

CHAPTER Cardiac Evaluation Pulmonary Evaluation Periop Beta Blockers SBE Prophylaxis DVT Prophylaxis Periop Medication Management Management of Longterm.

Periop Nursing

Periop Nursing

PeriopSim Periop 101 - Pilot Data

PeriopSim Periop 101 - Pilot Data

Periop Fluid Therapy & Blood

Periop Fluid Therapy & Blood

OHS periop mgt.pdf

OHS periop mgt.pdf

Periop Medication Management

Periop Medication Management

periop hand out

periop hand out

Guideline Nut Periop Bariatric

Guideline Nut Periop Bariatric

Electronic Perioperative Documentation in OT slides... · Electronic Perioperative Documentation in OT Lee Sow Fong ... Pre & Post-intervention comparison -Revised periop record to

Electronic Perioperative Documentation in OT slides... · Electronic Perioperative Documentation in OT Lee Sow Fong ... Pre & Post-intervention comparison -Revised periop record to

transfusi periop

transfusi periop

Preop Assessment Periop Management

Preop Assessment Periop Management

Hemodinamik Periop CB2013

Hemodinamik Periop CB2013

Periop 101: A Core Curriculum RN 2016aorndistributionpartners.weebly.com/uploads/2/7/6/8/2768302/...5_9… · 1946 Perioperative Nursing Care of the Patient Receiving Moderate Sedation/Analgesia,

Periop 101: A Core Curriculum RN 2016aorndistributionpartners.weebly.com/uploads/2/7/6/8/2768302/...5_9… · 1946 Perioperative Nursing Care of the Patient Receiving Moderate Sedation/Analgesia,

BETTER TOGETHER - PERIOP PULSE

BETTER TOGETHER - PERIOP PULSE