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Questions and Answers
What is NOT a element of your admission note?
What is NOT a element of your admission note?
- OLDCARTS, Last PO, N/V
- Type and amount of anesthesia used (correct)
- Medical/Surgical Hx
- Asking about Coagulopathies, Anesthesia Complications, and Current medication use
If there is high bleeding risk or life-threatening hemorrhage risk, what correctly matches anticoagulation agents?
If there is high bleeding risk or life-threatening hemorrhage risk, what correctly matches anticoagulation agents?
- Heparin:Protamine, Warfarin:Praxbind, DOAC:KCentra
- Heparin:KCentra, Warfarin:Protamine, DOAC: Praxbind
- Heparin:Praxbind, Warfarin:VitK, DOAC:Protamine
- Heparin:Protamine, Warfarin:VitK, DOAC:KCentra (correct)
A nasogastric tube placement MUST be confirmed with x-ray. It should be centrally located distal to the carina (does not deviate laterally) and continues inferiorly.
A nasogastric tube placement MUST be confirmed with x-ray. It should be centrally located distal to the carina (does not deviate laterally) and continues inferiorly.
True (A)
Indications!
Indications!
Complications for ostomy: Early v Late complications
Complications for ostomy: Early v Late complications
Esophageal stricture, bleeding varices, skull base fractures are still OK to get a NG tube.
Esophageal stricture, bleeding varices, skull base fractures are still OK to get a NG tube.
What catheter should I use?
What catheter should I use?
PPN- peripheral parenteral nutrition VERSUS TPN- total parenteral nutrition
PPN- peripheral parenteral nutrition VERSUS TPN- total parenteral nutrition
You should have a DVT/PE Prophylaxis plan and timing of restarting chemical DVT PPx post-op (if app) in the admission note.
You should have a DVT/PE Prophylaxis plan and timing of restarting chemical DVT PPx post-op (if app) in the admission note.
What is a sign of URGENT surgery?
What is a sign of URGENT surgery?
When it comes to the interruption of DOAC for Elective Surgery for a high risk bleeding procedure, when should the patient STOP their DOAC?
When it comes to the interruption of DOAC for Elective Surgery for a high risk bleeding procedure, when should the patient STOP their DOAC?
When it comes to interruption of DOAC for Elective Surgery, when should a patient stop their regular DOAC for a low risk of bleeding surgery?
When it comes to interruption of DOAC for Elective Surgery, when should a patient stop their regular DOAC for a low risk of bleeding surgery?
A patient takes DOAC/anticoagulation medications on a regular basic and needs emergent surgery. What do you need to consider if there is a high risk of bleeding or life threatening hemorrhage?
A patient takes DOAC/anticoagulation medications on a regular basic and needs emergent surgery. What do you need to consider if there is a high risk of bleeding or life threatening hemorrhage?
Study Notes
Elements of Admission Note
- Admission note should include patient's DVT/PE prophylaxis plan and timing of restarting chemical DVT prophylaxis post-op, if applicable.
Nasogastric Tube Placement
- Nasogastric tube placement must be confirmed with x-ray.
- The tube should be centrally located distal to the carina and continue inferiorly without lateral deviation.
Contraindications for Nasogastric Tube Placement
- Esophageal stricture, bleeding varices, and skull base fractures are not contraindications for nasogastric tube placement.
Parenteral Nutrition
- PPN stands for peripheral parenteral nutrition.
- TPN stands for total parenteral nutrition.
Anticoagulation Agents
- In cases of high bleeding risk or life-threatening hemorrhage, anticoagulation agents should be carefully managed.
- For elective surgery with high risk of bleeding, DOACs should be stopped 2-3 days before surgery.
- For elective surgery with low risk of bleeding, DOACs can be stopped 1-2 days before surgery.
- If a patient is taking DOACs regularly and needs emergent surgery, the risk of bleeding or life-threatening hemorrhage should be carefully considered.
Urgent Surgery Indications
- Urgent surgery is indicated in life-threatening situations.
Ostomy Complications
- Early complications of ostomy include bleeding and infection.
- Late complications of ostomy include bowel obstruction and hernia.
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Description
Test your knowledge on the elements typically found in an admission note and identify what is NOT a part of it. This quiz covers key concepts related to documenting patient admissions in healthcare.
