General Medicine: 15. Perioperative Management in Ocular Surgery Flashcards
sickle cell screening
African American children, unlike other children, should have this test prior to eye surgery
EKG, routine blood tests
These are no longer considered necessary prior to routine cataract cases (Shein et al, 2000)
TRUE
TRUE or FALSE: Oral antihypertensives can be taken the day of surgery, despite NPO status
diuretic
This antihypertensive may be held on the day of surgery to prevent intraoperative hypotension
beta-blocker
This medication may be added preoperatively in older patients with significant cardiac risk factors undergoing orbital surgery
stop short-acting insulin, take half of long-acting insulin dose
instructions for patients with IDDM on the day of surgery
stop oral hypoglycemic agents
instructions for patients with NIDDM on the day of surgery
general anesthesia
in patients with COPD, this is a consideration if the patient has to cough frequently
2 hours
children may take clear liquids up to this timing before cataract surgery
spina bifida, myelodysplasia
medical conditions that predispose to latex allergy
wrong site surgery
in many states, this surgical error must be reported to the state board of medicine
midazolam
this is generally the most appropriate sedative used in outpatient surgery
propofol
this anesthetic carries the property of rapid bacterial growth at room temperature due to it’s lipid characteristics
seizures
this has been reported to result from injection of local anesthetic into the ophthalmic artery (not CRAO)
hypertension, bradycardia
two most common perioperative systemic complications during cataract surgery
