A. Proceed with laparotomy
B. call surgeon colleague
C. IV 10 ml 10% calcium gluconate over 2 to 5 minutes
D. Third and fourth degree perineal tear
E. Alert team, IV antibiotics and observe.
F. Continue planned procedure.
G. Postpartum Haemorrhage
H. Arrange for diagnostic laparoscopy
I. 10 IU fast-acting insulin (Actrapid) added to 50 ml of 50%
K. Arrange for a CXR looking for air under diaphragm
L. Visualize the primary trocar site from a secondary port.
For each scenario provided below, choose the most appropriate immediate intervention for different complications of surgical procedures.Each option may be used once, more than once, or not at all.
12. You see a 60 year-old patient who had an abdominal hysterectomy for stage 1 endometrial cancer 3 days ago. She has vomiting and complains of muscle weakness, palpitations and paraesthesia, and she is oliguric. An ECG shows loss of P-waves, tall T waves , wide QRS complexes her K+ level is 7.5 mmol/L.