Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

AS - N928 Basic Principles of Anesthesia > Preop Interview > Flashcards

Preop Interview Flashcards

1
Q

AANA Standard 2

A

Pre-anesthesia patient assess & evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

AANA Standard 4

A

Informed consent for anesthesia care & related services

Exception: Emergency surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

AANA Standard 5

A

Documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Preop Evaluation Goals

A

Obtain medical & surgical histories
Evaluate patient & determine need for preop studies or specialty consultations
Formulate & deliver a safe anesthetic plan
Minimize periop morbidity & mortality
Optimize patient safety & satisfaction
Prevent surgical cancellations & delays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Essential Components

A 
BMI (height & weight)
Allergies
Medications
NPO status
Previous surgeries - anesthesia and/or complications
Family history Malignant Hyperthermia
Pregnancy?
Systems review
Baseline level cognition
Airway assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

BMI

A

kg/m^2

[weight (lbs) / (height (in)^2)] x 703

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Allergies

A

Drugs, dyes, contrast, latex, food, tape

Reaction
Allergy vs. side effects
Throat/tongue swelling or difficulty breathing = anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anesthesia & Surgical History

A

Difficult intubation
Prolonged sore throat >2 days
Significant weight gain since previous surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Malignant Hyperthermia History

A

Patient or family member
Outcome
Genetic testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

NPO

A

Nil per os
Clear liquid (water, black coffee, tea, pulp-free juice, carbonated beverage) 2hr
Breastmilk 4hr
Formula, cow’s milk, tea or coffee w/ milk, full liquids, light meal 6hr
Full fried or fatty meal 8hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Selleck’s Maneuver

A

Cricoid pressure
Attempts to prevent aspiration
Straight downward force on the cricoid cartilage
Compresses the esophageal lumen b/w cricoid cartilage & cervical spine
Start w/ 3lbs ↑6.6-8.8lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Mallampati Class I

A

Faucial pillars, hard palate, soft palate, & full uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mallampati Class II

A

Faucial pillars, soft palate, & partial uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mallampati Class III

A

Soft palate & uvula base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mallampati Class IV

A

Hard palate only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mouth Opening

A

Assess inter-incisor gap <2 fingers indicates difficult airway (at least 3 fingers = ideal)
Temporomandibular joint
- Stiffness decreases w/ induction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patil’s Test

A

Thyromental distance
Assess mandibular space available to displace the tongue
Patient extends head w/ mouth closed
Measure from thyroid cartilage upper edge to mentum (chin)
Normal 3 fingerbreadths (6cm)
Ideal 7-8cm typically easy intubation
6-7cm questionable
<6cm ↑risk difficult intubation
*Consider potential chin implant (scar) or plastic surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Upper Lip Bite Test

A

Assesses ability to displace jaw forward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Prayer Sign

A

Indicates joint mobility (reflects cervical spice)

+ prayer sign unable to press palms flat → difficult to align axes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Cervical Mobility

A

Look up, down, left, & right
Any pain, numbness, or tingling?
Sniffing position - align OPL axes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Neck Circumference

A

> 45cm indicates difficult intubation

BMI >40kg/m^2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Sternomental Distance

A

Normal 13.5cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Atlanto-Occipital Joint

A

Normal extension 35°

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Medications

A 
OTC
Prescriptions
Vitamins/minerals
Herbal supplements
Home remedies

Drug, dose. & last taken

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
TAKE
``` β blockers GERD Ca2+ channel blockers Bronchodilators Antiarrhythmics Steroids Diuretics (CHF) Antipsychotics Thyroid Antiepileptics *Anticoagulants per surgeon ```
26
HOLD
``` Oral hypoglycemics ACEi ARBs Diuretics (no CHF) Herbal supplements *Anticoagulants per surgeon ```
27
Cardiovascular
``` HTN Angina CAD MI Valvular disease Syncope CHF Edema or dyspnea Arrhythmias ```
28
Recent MI
<6mos
29
Respiratory
``` Asthma Chronic bronchitis Emphysema Recent URI Pneumonia TB OSA Tobacco use ```
30
Neurological
``` Cognitive function Stroke TIA Headaches Seizures Neuropathy ```
31
Gastrointestinal
``` GERD Hiatal hernia Bowel obstruction N/V Motion sickness ```
32
Aspiration Risk
``` Uncontrolled GERD Stroke Diabetes (gastroparesis) Morbid obesity ↑abdominal pressure (ascites or edema) Bowel obstruction Pregnancy >12-14wks Trauma SNS response ```
33
Endocrine
Diabetes | Hyper/hypothyroidism
34
Autoimmune
Rheumatoid arthritis
35
Musculoskeletal
``` Multiple sclerosis Myasthenia gravis Myopathy Fibromyalgia Myotonias Obesity Sjogren's syndrome ```
36
Hepatic
``` Hepatitis Jaundice Cirrhosis Alcohol LABS: PT/PTT, HFP, EKG ```
37
Renal
CKD Failure ESRD Dialysis * Last dialysis * Chemistry
38
Social
Psych Alcohol Drugs
39
Hematologic
``` Bleeding or coagulation disorder Anemia ITP DVT or PE Anticoagulant therapy Sickle cell Transfusion history (previous blood products) ```
40
Oncological
Chemo/radiation | Last treatment
41
Infectious Disease
HIV AIDS Herpes Shingles
42
AANA Standard III
Anesthetic plan
43
ASA Classifications
I - normal, healthy patient II - mild systemic disease III - severe systemic disease IV - severe systemic disease, constant threat to life V - moribund patient not expected to survive w/o surgery VI - declared brain dead, organ procurement E - emergency
44
AANA Standard IV
Informed consent
45
AANA Standard V
Documentation
46
Pre-Anesthesia Testing AGE
50-60yo EKG | >60yo EKG & CBC
47
Pre-Anesthesia Testing | Procedures w/ Blood Loss
CBC
48
Pre-Anesthesia Testing | CV Disease
EKG & basic chemistry
49
Pre-Anesthesia Testing | Pulmonary Disease
EKG
50
Pre-Anesthesia Testing Malignancy
EKG & CBC
51
Pre-Anesthesia Testing | Radiation Therapy
EKG & CBC
52
Pre-Anesthesia Testing | Hepatic Disease
EKG, HFP, & PT/PTT | Hepatitis
53
Pre-Anesthesia Testing | Renal Disease
EKG, basic chemistry, & PT/PTT
54
Pre-Anesthesia Testing | Bleeding Disorder
CBC, PT/PTT, & platelet function assay
55
Pre-Anesthesia Testing | Diabetes
EKG, basic chemistry, & glucose
56
Pre-Anesthesia Testing | Diuretic
Basic chemistry
57
Pre-Anesthesia Testing | Digoxin
EKG, basic chemistry, & digoxin level
58
Pre-Anesthesia Testing | Steroid
Basic chemistry & glucose
59
Pre-Anesthesia Testing | CNS Disease
EKG, CBC, basic chemistry, & glucose
60
Pre-Anesthesia Testing | Coumadin
PT/PTT
61
Pre-Anesthesia Testing | Recent Pneumonia
CXR
62
Pre-Anesthesia Testing | Implant Procedures
UA
63
Pre-Anesthesia Testing | Rheumatoid Arthritis or Down's Syndrome
Flexion/extension C-spine films | Consult anesthesia

AS - N928 Basic Principles of Anesthesia (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions