Question

CHAPTER 9 Surgical Pharmacology and Anese 243 CASE STUDY A 55-year-old female patient who is positive for MRSA is having a laparoscopic cholecystectomy. During the procedure, the surgeon encounters unexpected heavy bleeding from the liver bed and decides to convert to an open cholecystectomy 1. What medication category will be used during the "intraoperative cholangio- graphy part of the procedure? Name three medications from this category 2. The surgeon requests half-strength diatrizoate sodium solution; you have 30 mL of diatrizoate sodium and a 50-cc syringe on the field. How much of the medication and how much normal saline will you add to the syringe 3. The surgeon requests an antibiotic irrigation for closure. Considering the patient's medical history, what antibiotic will be requested? What information should be included on the label for the basin containing the requested irrigation What will be used to deliver the irrigation to the wound? 4. What three medications might be used to control the bleeding on the liver bed intraoperatively? 5. The surgeon is concerned that the patient might have some postoperative liver inflammation leading to nausea and vomiting. What single medication would the surgeon ask the anesthesia care provider to give intraoperatively to treat this possibility?

#3 only

Answer 1

1. Patient are MRSA ( methicillin resistance staphylococcus aureus) positive

So 1st line for MRSA - trimathoprin and sulfamethaxozole combination

2nd line - clindamycin

3rd -lenezolid antibiotic are use

2.

- For 50cc (10 = 1ml.) required - 50 ml. Solution Make 1/2 strength Solution So We Use 25 me diatrizonte sodium and 25ml. Normal Saline So total use (25 ml saline