L1: Pre-Operative Care Flashcards
(104 cards)
1
Q
Factors affecting the extent of pre-op preparation
A
2
Q
The rationale (purpose) for pre-op preparation
A
3
Q
Classification of surgery
A
4
Q
Items of assessment of fitness for surgery
A
5
Q
Items of preoperative assessment
A
6
Q
Preassessment clinic
- It aims to assess surgical patients with …….. preadmission for elective surgery.
- Preassessmen is timed so that the gap between assessment and surgery is: …….
A
7
Q
Principles of Preoperative history taking
A
8
Q
Surgical Hx & Main Complaint in Surgical Hx
A
9
Q
Drug Hx & Surgical Hx
A
9
Q
Social Hx in Surgical Hx
A
10
Q
Family Hx in Surgical Hx
A
11
Q
Tips for Physical Examination in POC
A
12
Q
Types of Ex in POC
A
13
Q
Emergency Physical Ex in POC
A
14
Q
When to perform a clinical investigation?
(POC)
A
15
Q
Consideration When deciding on appropriate investigations in POC
A
16
Q
When to order CBC before Surgery?
A
17
Q
When to order S.Creatinine & Electrolytes before Surgery?
A
18
Q
When to order Blood Glucose before Surgery?
A
19
Q
When to order ECG before Surgery?
A
20
Q
When to order X-ray Chest before Surgery?
A
21
Q
When to order Coagulation studies before Surgery?
A
22
Q
When to perform a preoperative amylase & its value?
A
23
Q
Cross studies (POC)
A
24
ECG in POC
25
Other Investigations in POC
26
When Is Chest Radiograph required in POC?
27
When are Specialized Cardiac investigations required in POC?
28
when are Specialized Respiratory investigations required in POC?
29
Deciding To operate
**Preoperative Consent & Counselling**
30
It is important to recognize that all patients are different - in their ages, in their beliefs and in their worries.
31
Presenting information to patients
**Preoperative Consent & Counselling**
32
Obtaining Consent
**Preoperative Consent & Counselling**
33
Patient Identification
**Identification & Documentation**
34
Documentation
**Identification & Documentation**
35
Medical documents (medical notes, drug and fluid charts, consent forms and operation notes) are ....... documents.
36
- All entries to the notes should be written clearly and legibly. Always write the date and time and your name and position at the beginning of each entry.
37
From a medicolegal point of view, if it is not documented then ........
38
Optimizing the patient's condition gives them the best possible chance of a good surgical outcome.
39
Patients Optimization Recommendations
40
It is essential that the acutely ill surgical patient is adequately .......... before theatre.
resuscitated and stabilized
40
- In extreme and life-threatening conditions this may not be possible (e.g., ruptured abdominal aortic aneurysm or AAA, trauma) and resuscitation ....... definitive treatment.
should not delay
40
Most emergency patients fall into one of two categories →
hemorrhage or sepsis.
41
what are The general principles of resuscitation?
42
Correction of Dehydration
**POC**
43
Dialysis for severe renal impairment before theatre
44
Dehydrated patients may exhibit ....... drops in blood pressure on anesthetic induction and aggressive preoperative fluid management is often required.
45
Anemia Correction
**POC**
46
Pain TTT
**POC**
46
Antibiotics
**POC**
47
Stomach Decompression
**POC**
48
Def of **Prophylaxis**
49
Stopping smoking ..... respiratory function even if the patient can only stop for ......
improves, 24 hours.
50
Stopping medications (e.g., the oral contraceptive pill for a ......., aspirin or clopidogrel for ....... before surgery) to avoid risk of .......
month, two week, DVT
51
Drugs Gives in POC
52
Preoperative Marking
53
Preoperative marking is Important especially when .....
54
what are Two main prognostic scoring systems which are in current use?
55
Characters of ASA System
56
ASA system
57
APACHE II System
58
APACHE III System
59
DVT is common in surgical patients → Can cause ......
pulmonary edema with high mortality.
60
Risk factor for DVT
61
Thromboembolic Prophylaxis
62
what does antibiotic prophylaxis depend on?
63
Antibiotics according to Classes of operative procedure
64
Classes of operative procedure
65
Recommendations
**Preoperative Managment of DM**
66
Reasons for good glycemic control
**Preoperative Managment of DM**
67
pre-operative precautions in patients with diabetes
68
Management of type one diabetes mellitus
**Preoperative Managment of DM**
69
Management of type two DM
70
Oral Hypoglycemic Drugs
**Preoperative Managment of DM**
71
what to do if
- A patient who has a surgery has acute hepatitis?
72
what to do if
- A patient who has a surgery has chronic hepatitis?
73
what to do if
- A patient who has a surgery has obstructive jaundice?
74
Child's classification of the severity of chronic liver disease
75
Pugh's modification replaces nutrition with prothrombin time.
76
Risk factors for preoperative bleeding
77
Hx of **Coagulapathy**
(POC)
78
Investigations for **Coagulapathy**
(POC)
79
What causes elevated PT?
80
What causes elevated APTT?
81
What causes elevated Both PT & APTT?
82
Managment of severe clotting deficiency
**POC**
83
Managment of Low platelet count or abnormal platelets
**POC**
84
How to Manage patient on heparin reoperatively?
85
Nutritional Assessment
**POC**
86
Preoperative Considerations in IHD
87
..
88
problems of pacemakers and implanted ventricular defibrillators during the surgical period
89
What are intraoperative precautions regarding pacemakers and implanted ventricular defibrillators?
90
considerations according to drugs in pre-operative care
91
Complications of steroid therapy perioperatively
92
Management of patients on pre-op steroid therapy
93
MOA of Warfarin
94
Antidote of Warfarin
95
Surgical Consideration of Warfarin
96
Example of **Antiplatelet agents**
97
MOA of Antiplatelet agents
98
Usage of Antiplatelet agents
99
Surgical Consideration of Antiplatelet agents
100
Done
