Flashcards in Pre-op assessment Deck (30)
Name 3 serious anaesthetic complications?
Name 2 important resp conditions before inducing anaesthesia.
obstructive sleep apnea
Name 4 CVS conditions before inducing anaesthesia.
What endocrine and what renal condition do you want to know about before anaesthesia?
Name 2 neurological conditions to be aware of before anaesthesia.
what GI problem can make airway induction difficult?
What 3 MSK conditions can make airway placement difficult? (HINT: spine)
Name an important gynae situation that may make anaesthesia more complicated.
women of repro age-pregnancy!!
How many hours before anaesthesia can you drink water/clear fluids?
How many hours before anaesthesia can you eat/drink milk containing drinks?
How many hours before anaesthesia can you eat chewing gum?
how long before surgery should warfarin be stopped? In emergency situations, what should be given to reverse warfarin?
how long before surgery should NOAC/DOACs (rivaroxaban, apixaban, dabigatran) be stopped?
Which out of the 4 should be stopped before surgery, due to irreversible platelet aggregation? And how many days before?
Aspirin, clopidogrel, NSAIDS, dipyridamole.
Which antihypertensive should be stopped on the morning of surgery?
Should patients stop their anticonvulsants?
If diabetics will be in long surgery or be missing a meal, what should they be put on?
insulin/dextrose sliding scale
What medication do patients need more of during surgery?
Which medication needs to be stopped 4 weeks before surgery?
Which herbal medication should be stopped 2 weeksbefore surgery?
st johns wort
Name 3 possible analgesics given preop.
Which 3 groups require an ECG preop?
>60 with increased surgical risk
Which 2 situations do pts require FBCs & U&E?
>60 and inc surgical risk
What do pts having post op care in ITU require?
What BP on the day of surgery means the surgery CANNOT go ahead? What BP does the patients reading need to be under?
What blood result needs to be above 130 pre operatively?
Which 2 patient groups definitely need an ECG and U&E done?
cardio and renal patients
Which patient group has FBC done?
When should a patient have a CXR?
If they have been scheduled for post op care in ITU.