Peri-operative Management of ITP Patient on Oral Prednisone

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Questions and Answers

Which of the following is a concern in the peri-operative management of a patient with a shoulder rotator cuff injury and a history of ITP and oral prednisone?

  • Risk of post-op haemorrhage (correct)
  • Risk of adrenal crisis
  • Poor wound healing
  • Increased susceptibility to infection

What are the potential risks associated with prolonged steroid use in the peri-operative period?

  • Increased risk of infection
  • Delayed wound healing
  • Hyperglycemia
  • All of the above (correct)

What condition may be induced by long-term steroid use during high-stress periods such as following a major surgery?

  • Addison's disease (correct)
  • Hypothyroidism
  • Rheumatoid arthritis
  • Cushing's syndrome

What is the main concern regarding bleeding in a patient with ITP and a shoulder rotator cuff injury?

<p>Post-op haemarthrosis (C)</p> Signup and view all the answers

What is a potential effect of long-term steroid use on the skin and blood vessels?

<p>Increased friability of skin and superficial blood vessels (D)</p> Signup and view all the answers

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