Intra-Operative Assessment & Management

<Surgery>   <Management>

<Index>

 

 

Analgesia

-  Paracetamol 1g IV

-  Morphine

 

Antiemetics

-  Dependant on procedure & pt past exp

-  Often triple therapy

-  Esp for abdo Sx

-  Metoclopramide 10mg IV

-  Ondansetron 4mg IV

-  Dexamethasone 4mg

 

Fluids

-  Assessment based on

-  Operative losses: blood (drains, gauze), bile..

-  Gastric Sx

-   Rough rule for laparotomy: 10ml/kg/hr fluid replacemet

 

Antibiotics

-  Dependant on Sx

-  Dictated by Surgeon intra-operatively

-  Check allergies

-  If unsure 1ml then watch for reaction --> remaining Abx

-  Surgical antibiotic prophylaxis often given when skin to knife rather than pre-op