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Flashcards in Pre-op assessment Deck (30)
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1

Name 3 serious anaesthetic complications?

malignant hyperthermia
suxamethonium apnoea
anaphylaxis
difficult airway

2

Name 2 important resp conditions before inducing anaesthesia.

COPD/asthma
obstructive sleep apnea

3

Name 4 CVS conditions before inducing anaesthesia.

ACS
AF
HF
HTN
Valve disease

4

What endocrine and what renal condition do you want to know about before anaesthesia?

diabetes
CKD/renal disease

5

Name 2 neurological conditions to be aware of before anaesthesia.

stroke
epilepsy
dementia/delirium

6

what GI problem can make airway induction difficult?

GORD

7

What 3 MSK conditions can make airway placement difficult? (HINT: spine)

Ank spond
RA
OA

8

Name an important gynae situation that may make anaesthesia more complicated.

women of repro age-pregnancy!!

9

How many hours before anaesthesia can you drink water/clear fluids?

2 hours

10

How many hours before anaesthesia can you eat/drink milk containing drinks?

6 hours

11

How many hours before anaesthesia can you eat chewing gum?

2 hours

12

how long before surgery should warfarin be stopped? In emergency situations, what should be given to reverse warfarin?

6 days
vitamin K

13

how long before surgery should NOAC/DOACs (rivaroxaban, apixaban, dabigatran) be stopped?

2 days

14

Which out of the 4 should be stopped before surgery, due to irreversible platelet aggregation? And how many days before?
Aspirin, clopidogrel, NSAIDS, dipyridamole.

clopidogrel
7 days

15

Which antihypertensive should be stopped on the morning of surgery?

ACE-i

16

Should patients stop their anticonvulsants?

nah

17

If diabetics will be in long surgery or be missing a meal, what should they be put on?

insulin/dextrose sliding scale

18

What medication do patients need more of during surgery?

steroids

19

Which medication needs to be stopped 4 weeks before surgery?

COCP

20

Which herbal medication should be stopped 2 weeksbefore surgery?

st johns wort

21

Name 3 possible analgesics given preop.

paracetemol
codeine
NSAIDS

22

Which 3 groups require an ECG preop?

>80y/o
>60 with increased surgical risk
cardiovasc/renal difficulty

23

Which 2 situations do pts require FBCs & U&E?

>60 and inc surgical risk
renal disease
CVS disease

24

What do pts having post op care in ITU require?

CXR

25

What BP on the day of surgery means the surgery CANNOT go ahead? What BP does the patients reading need to be under?

180/110

160/100

26

What blood result needs to be above 130 pre operatively?

haemoglobin!

27

Which 2 patient groups definitely need an ECG and U&E done?

cardio and renal patients

28

Which patient group has FBC done?

renal disease

29

When should a patient have a CXR?

If they have been scheduled for post op care in ITU.

30

What test must be done in all women of reproductive age?

pregnancy test