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Postop Fever :hocho::fire: (When (Diagnosis (Dx test (Tx (Prophy)))), In…
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Right after Sx
Bacteremia
- esp. after gut sx
- dead necrotic looking organ
- leave some behind or translocate to blood
BCx
- maintain sterile field
- be careful in GI sx to prevent unnecessary bleeding
POD #1
Atelectasis
no tx
- inhaled incentive spirometry ICS
- OOB (out of bed)
- goes a long way to preventing complications
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POD #3
Abx
Foley out asap
- Plastic: nidus for bact.
- provides incentive for OOB
POD #5
DVT
- hypercoagulable postop
- bed rest: immobile
- highest risk sx
PEx: 1 leg circumference > 2cm ∆ than the other
- may present w/ PE
- hypoxemic hypercapnic respiratory alkalosis
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POD #7
Cellulitis
- wound not holding together
- boggyness
- ± purulent drainage
- Sterile field
- Clean postop
- patients fuck this up by themselves
POD # 10-14
US :loudspeaker: = CT :radioactive_sign:
Abx w/ I&D
- Sterile field
- Clean postop
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