Category: General Surgery

Prescribing analgesia

When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and oncological pain all respond to different analgesia. SOCRATES is a helpful way to systematically take this history as it will help identify any serious underlying disease that is causing the pain and whether any further

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August 3, 2019 4 Comments

Prescribing IV Fluids

There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if a patient is nil-by-mouth (NBM) (e.g. pre-operatively, ‘drip & suck’ for bowel obstruction, acute pancreatitis, recent stroke with unsafe swallow). The NICE Guidance CG174 Intravenous fluid therapy in adults in hospital contains an excellent PDF

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August 3, 2019 8 Comments

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