Acute surgical frailty Flashcards
1
Q
what is frailty
A
lack of physiological reserve
decreased ability to withstand illness
2
Q
frailty scores
A
Canadian frailty score - Rockwood
3
Q
role of geriatric peri-operative Drs
A
CGA with peri-operative input balance co-morbidities polypharmacy review informed and collaborative decision making reduce length of hospital stay prevent delirium
4
Q
decision making framework
A
BRAN Benefits to patient Risks of surgery and anaesthetic Alternatives to surgery N - what if we do nothing
5
Q
what is the 4AT used for, what are its components
A
screening tool for delirium Alert AMT4 Attention Acute + fluctuating
6
Q
what is the TIME bundle
A
Think triggers Investigate Manage Engage Explore
7
Q
what is commonly missed in acute delirium screen
A
silent MI
do an ECG and troponins
8
Q
if a patient is on corticosteroids what do you do to their dose in an emergency
A
double it
DO NOT suddenly stop it
