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24 Cards in this Set
- Front
- Back
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1. What are the three parts of the preoperative evaluation?
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a. Dx of surgical disease
b. Detection of comorbid factors and severity c. Assessment of operative risk |
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3. What is the purpose of the H&P?
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a. Discover comorbidities that will influence the patient’s ability to withstand and recover from the operation
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4. What are some sources you can utilize in order to get a complete H&P?
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a. Patient
b. Family c. Friends d. Previous medical records e. Emergency medical personnel |
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5. What other information do you need from the H&P?
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a. Determine need for→
b. Specialty consultation c. Laboratory tests d. Dx studies e. Medications and allergies f. Previous procedures |
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6. What does AMPLE mean?
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a. FOR A SURGICAL EMERGENCY
b. Allergies c. Medications d. Past medical history e. Last meal f. Events preceding the emergency |
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7. What are the preoperative screening tests that need to be done?
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a. CBC
b. BMP/CMP c. PT/PTT/INR d. CXR e. ECG |
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8. What classifies a Class I patient?
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i. Healthy patient
ii. Limited procedure |
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8. What classifies a class II patient?
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a. Mild to moderate systemic disturbance
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10. What is a class III patient?
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a. Severe systemic disturbance
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11. What is a Class IV patient?
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a. Life-threatening disturbance
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12. What is a Class V patient?
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a. Not expected to survive with/without surgery
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13. What must be taken into account for a patient with renal dysfunction?
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a. Ability to excrete water and sodium
b. Ability to maintain homeostasis of intravascular volume c. Chronic metabolic acidosis d. Electrolyte abnormalities e. Anemia f. Chronic coagulopathy |
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14. What are comorbid considerations for hepatic dysfunction?
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a. Alterations in drug metabolism
b. Alterations in coagulation or bleeding c. Ascites and edema d. Encephalopathy and seizures |
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15. What are comorbid considerations for diabetes?
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a. Metabolic hyper- or hypoglycemia
b. Cardiovascular considerations c. Infection/wound healing d. Autonomic dysfunction/neuropathy |
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16. What is the goal of diabetes treatment?
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a. Euglycemia
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17. What are the comorbid considerations for adrenal insufficiency?
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a. Glucocorticoid replacement/supplementation
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18. What do you give for minor surgical stress in adrenal insufficiency?
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a. Hydrocrotisone 25mg IV/24 hours
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19. What do you give for moderate surgical stress in adrenal insufficiency?
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a. Hydrocortisone 50-75 mg IV/24-48 hours
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20. What do you give for major surgical stress in adrenal insufficiency?
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a. Hydrocortisone 100-150 mg IV/24-48 hours
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21. What are the comorbid considerations for pregnancy?
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a. Altered physiology/gravid uterus
b. Pulmonary c. GI d. Spontaneous labor e. Appendicitis and biliary tract disease f. Trauma |
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22. What are comorbid considerations for a geriatric patient?
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a. Multiple comorbidities
b. Multiple medications c. Quality of life decisions d. Advanced directives |
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23. What are some pharmaceutical pre-surgical considerations?
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a. Preoperative antibiotics
b. DVT prophylaxis c. Pain management |
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24. What are some postoperative considerations?
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a. Atelectasis
b. Surgical wound failure c. Surgical site infection d. Fever |
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25. What is atelectasis?
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a. Collapsed airway secondary to not breathing deeply
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