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Class of 2023
Session Information


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Session Title:
SURG: Peri-operative Assessment - Fluids and Electrolytes
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1155 List the normal range of Na+, K+, HCO3-, Cl- in serum, and indicate how these ranges change in perspiration, gastric juice, bile, and ileostomy contents.
1156 Identify at least four endogenous factors that affect renal control of sodium and water excretion.
1157 Outline at least six symptoms of physical findings of dehydration.
1158 Describe the objective ways of measuring fluid balance.
1159 List the electrolyte composition of the following solutions: (a) normal (0.9%) saline (b) ½ normal saline (c) 1/3 normal saline (d) 5% dextrose in water (e) Ringer’s lactate
1160 In the following situations, indicate whether serum Na, K, HCO3, Cl and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--). (a) excessive gastric losses (b) high volume pancreatic fistula (c) small intestine fistula (d) biliary fistula (e) diarrhea
1161 In the following situations, indicate whether serum and urine Na, K, HCO3, Cl and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--). (a) acute tubular necrosis (b) dehydration (c) inappropriate ADH secretion (SIADH) (d) diabetes insipidus
1162 Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: (a) hypernatremia (b) hyponatremia (c) hyperkalemia (d) hypokalemia (e) hyperchloremia (f) hypochloremia
1163 Explain the concept of a “third space,” and list those conditions that can cause fluid sequestration of this type.

Linked Course Goal(s) to Session
Blueprint ID Course Goals
11632 EPA 1 (AFMC): Obtain a history and perform a physical examination adapted to the patient''s clinical situation.
Linked Program Competencies
To This Course Goal:
me-1 me-2 cm-1 cm-2 ld-3 ha-1 sc-1 sc-2 pr-1
11633 EPA 2 (AFMC): Formulate and justify a prioritized differential diagnosis.
Linked Program Competencies
To This Course Goal:
me-4 me-6 cm-1 cm-2 cm-3 co-3 ld-3 ha-1 ha-2 sc-2 pr-1
11634 EPA 3 (AFMC): Formulate an initial plan of investigation based on the diagnostic hypotheses.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 pr-1
11635 EPA 4 (AFMC): Interpret and communicate results of common diagnostic and screening tests.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11636 EPA 5 (AFMC): Formulate, communicate and implement management plans.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11637 EPA 6 (AFMC): Present oral and written reports that document a clinical encounter.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11638 EPA 7 (AFMC): Provide and receive the handover in transitions of care.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 pr-1
11639 EPA 8 (AFMC): Recognize a patient requiring urgent or emergent care, provide initial management and seek help.
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-1 sc-1 sc-2 sc-3 pr-1
11640 EPA 9 (AFMC): Communicate in difficult situations.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11641 EPA 10 (AFMC): Contribute to a culture of safety and improvement.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-5 cm-6 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
11642 EPA 11 (AFMC): Perform general procedures of a physician.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
11643 EPA 12 (AFMC): Educate patients on disease management, health promotion and preventative medicine.
Linked Program Competencies
To This Course Goal:
me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1
Linked Program Competencies To Course Goal(s)
me-1 Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation.
me-2 Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation.
cm-1 Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families.
cm-2 Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
ha-1 Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes.
sc-1 Scholar
Develop a plan for personal continued education.
sc-2 Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice.
pr-1 Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards.
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
co-3 Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role).
ha-2 Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
sc-3 Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
ld-1 Leader
Identify strategies to effectively manage practice and career.
co-4 Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration.
cm-6 Communicator
Discuss effective strategies for communicating with third parties other than health care professionals.

Linked MCC Medical Expert Objectives
(042-1) ANEMIA
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(013) CARDIAC ARREST
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(015-1) BLEEDING, BRUISING
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(109-1) ABDOMINAL INJURIES
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(058-2) DELIRIUM
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(045) ACID-BASE ABNORMALITIES
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(099-1) HYPERNATREMIA
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(107-1) FEVER AND HYPERTHERMIA
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(079-2) HYPOKALEMIA
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(099-2) HYPONATREMIA
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(009-2) HYPOTENSION, SHOCK
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(103) SUBSTANCE-RELATED OR ADDICTIVE
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