Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
9 Cards in this Set
- Front
- Back
|
absolute contraindications to surgery
|
- diabetic coma
- DKA |
|
|
indications of poor nutrition that are contraindications to surgery?
|
- albumin <3
- transferrin <200 - wt loss <20% |
|
|
signs of severe liver failure that are contraindications to surgery
|
- bili >2
- PT >16 - ammonia >150 - encephalopathy |
|
|
contraindications to surgery--smoker?
|
stop smoking 8 wks prior to surg
|
|
|
if a CO2 retainer, do what in post-op period?
|
go easy on O2, can suppress resp drive
|
|
|
what is goldman's index?
|
tells you who is at greatest risk for surgery
|
|
|
what are the 6 things in goldman's index?
|
#1 = CHF
#2 = MI w/in 6 mos #3 = arrythmia #4 = old (age >70) #5 = surgery is emergent #6 = AS, poor medical condition, surg in chest/abd |
|
|
what do you check for goldman's index of CHF?
|
EF--> if <35%, no surg
|
|
|
AS, poor med condition, surg in chest/abd--> what should you check?
|
-listen for murmur of AS
-late systolic, cresc-decresc murmur that radiates to carotids (incs w/squatting, decs w/dec preload) |
