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8 Cards in this Set
- Front
- Back
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What are pulmonary complications as a result of anesthesia?
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atelectasis, pneumonia, bronchitis, bronchospasm, hypoxemia, and respiratory failure
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In regards to someone with pulmonary pathology,what are you assessing for pre-operatively?
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pre-existing pulmonary d/z, type of dz, severity, as well as reversibility. Assess exercise tolerance, chronic cough, unexplained cough and presence of prolong expiratory phase. Listen to breath sounds
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When is it appropriate to obtain PFTs?
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if the pt is scheduled for a lung resection, or for those having a major surgery who have unexplained pulmonary s/s.
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What are the benefits of abstaining from cigarettes pre-op?
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Cessation for 2 days can decrease carboxyHgb levels, abolish nicotine effects and improve mucous clearance.
Cessation of 8 weeks can reduce post operative pulmonary complications. |
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In a smoker, is it useful to routinely use a bronchodilator preop?
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Yes. Smokers have increased airway reactivity.
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In a pt with a h/o asthma what are you looking for preop?
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inciting factors, severity, reversibility, and current status, frequency of inhaler use, hospitalizations d/t asthma, and last use of any steroid use.
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When should pre-op stress dose of steroids be use?
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If the pt has recieved more than a "burst and taper" does of steroids in the past 6 mos.
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