Pre-operative Assessment Flashcards Preview

Hugh's MD2 Foundation > Pre-operative Assessment > Flashcards

Flashcards in Pre-operative Assessment Deck (13):
1

What are the components of the pre-operative assessment?

Hx

Ex

Ix

Management Plan

Content

Prescription

 

2

What systems/conditions must you specifically ask about for pre-operative Hx?

Cardiovascular

Respiratory

Rheumatoid

Renal 

Liver

Neurological 

Diabetes

3

What exercise tolerance must a patient have to be fit for surgery?

4 mets > equivalent to climbing a flight of stairs, doing housework

4

What is the name of the functional state scoring system?

ASA - American Society of Anaesthesiologists

5

What is the mortality of someone with a ASA score of 5?

9.4%

6

How do you examine the airways?

Mouth opening

Teeth

Cervical spine motion

Temporomandibular joint function

Mallampati classification

Thyromental distance

 

7

Do you perform Ix on healthy fit patients?

No, only unwell ones

 

8

Which types of anaesthetics require airway management?

GA

Sedation

9

What are some major complications of anaesthetics?

Aspiration of gut contents

Hypoxic brain injury

MI, Stroke

Nerve injury

Chest infection

Death

10

How can you prevent gastric aspiration?

Prophylatic anti-emetic - 20mg of maxalon

11

What are the anaesthetic options for a hip replacement?

GA

Sedation with fascia block

Spinal nerve block

Epidural

12

How can you reduce the risk of aspiration of gastric contents?

Fasting

Lie the patient on an incline

Prophylactic metoclopramide

Put pressure on the cricoid cartilage to occlude the oesophagus

Enter the tube quickly

13

What do you do for a warfarin patient in pre for surgery?

Replace their warfarin with clexane in the 5 days leading up to surgery (warfarin takes 5 days to be removed)