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Flashcards in Pre Op Eval Deck (14)
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1

What are the Pre op evaluations?

Cardiac
Pulmonary
Liver
Nutrition
Metabolic status

2

What are pts that need to be checked for cardiac pre op Evals? How is it Dx and Tx?

Heart failure with EF < 35 %
Myocardial infarction within the last 6 mos

Dx: ECG, Echo, Cath

Thx: Stenting, plavix, CABG, Medical Managment

3

What is more of a issue in Pulmonary pre op eval?

Ventilation more than oxygen

4

What pts need to be checked for pulmonary pre op eval?

Smokers
COPD
Asthma
ILD

5

How are pts with pulmonary issues in pre op evals Dx? What will ABGs show? Which is worse low O2 or high CO2?

Dx: PFTs

ABG: will low O2 (Bad), High CO2 (worse)

6

What must smokers do before surgery in pre op evals?

Smoking cessation at least 8 weeks before

7

What does Child Pugh for Liver asses?

How well a pt can process anesthesia

8

What is checked for child Pugh class A,B,C?

Low albumin
Elevated Pt/PTT
Elevated billirubin
Ascites
Encephalopathy

9

How are pts dx in pre op evals for liver (child Pugh)? When are surgeries contraindicated? What is the treatment?

Dx: MELD score (use equation, don’t memorize)

Contraindicated in cirrhosis
Tx: Liver transplant

10

Why is adequate nutrition needed before surgery?

Adequate surgery needed for healing

11

Which pts are at risk for nutrition in pro op evals?

People who lost 20% of body weight in last 3 months

Albumin < 3

Failed a nervy test

12

How are people with nutrition dx in pre op eval?

DX: CRP, check prealbumin to ensure albumin is from nutrition

Skin a anergy test

13

What is the treatment for pts in nutrition?

Tx: PO>IV
10 days> 5 days

14

Which metabolic status pts don’t you don’t do surgery on?

Pts in DKA don’t do surgery