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Flashcards in Pre-employment Deck (13):
1

Can we give surgical clearance?

No only evaluate

2

High risk surgeries include?

1. Aortic and major vascular sx
2. peripheral vasccular sx

3

For elective surgery evaluate...

1. focus on CV and planned anesthesia

4

For emergent surgery evaluate

rapid assessment of CV, VS, volume status, hct., lytes, renal function, UA, EKG

5

Diseases that increase perioperative risk

1. HTN, CAD, cerebral vascular diseases
2. DM
3. Pulm dx
4. renal dx
5. hematologic disorders

6

Components of severe aortic stenosis

1. mean pressure gradient > 40mmHg
2. aortic valve less than 1.0cm
3. symptomaic (dyspnea, syncope, angina)
4. GET CARDIOLOGY CONSULT

7

Components for symptomatic mitral stenosis

1. progressive dyspnea on exertion
2. exertional presyncope
3. HF- dyspnea, syncope, angina

8

Do patients on BB stay on them before surgery?

Yes

9

Contraindications to BB before vascular surgery

1. asthma
2. AV block
3. BB intolerance

10

What is obesity BMI

30

11

What is hypoventilation related to obesity called?

Pickwickian

12

If restrictive or obstructive pulm disease determine what?

1. functional capacity
2. response to bronchodilaors
3. in hospital obtain spirometry or ABG

13

What should creatinine be before surgery?

CC < 2mg/dL