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Questions and Answers
Which of the following is a consideration for food intake before an operation?
Which of the following is a consideration for food intake before an operation?
- Midnight before operation (correct)
- 4 hrs before operation
- 2 hrs before operation
- 1 hr before operation
What is a specific assessment for the site of operation?
What is a specific assessment for the site of operation?
- Dehydration
- Anemia
- Infection (correct)
- Hypoproteinemia
When is breast milk intake advised to be stopped before an operation?
When is breast milk intake advised to be stopped before an operation?
- 8 hrs before
- 12 hrs before
- 4 hrs before (correct)
- 6 hrs before
What is monitored as part of the immediate postoperative care?
What is monitored as part of the immediate postoperative care?
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What is a special consideration for colonic and rectal operations?
What is a special consideration for colonic and rectal operations?
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Study Notes
Pediatric Surgery Introduction
- Pediatric surgery differs from adult surgery in several key ways.
Physiological Differences
- Body systems are not fully developed in infants and children.
- Physiological functions and reserve are smaller compared to adults.
- Infants and children are very fragile.
- Temperature regulation is a challenge in pediatrics.
Body Fluids and Electrolytes
- In full-term infants, 80% of body composition is water, decreasing to 60% in adults.
Feeding and Pain Relief
- Infants and children require special feeding methods.
- Pain relief methods are different in pediatrics compared to adults.
Immature Systems
- Blood volume is small in infants, approximately 80 ml/kg body weight.
- In a 3.5 kg neonate, the total blood volume is around 280 ml.
- The respiratory system is immature, with only about half of the alveoli present at birth.
- Hepatic function is immature, leading to conditions like physiologic jaundice.
Preoperative Care
- Routine preoperative care involves monitoring vital signs, including pulse and temperature.
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