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7 Cards in this Set

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Examples when preop tests should be ordered (4)
preg test (women of reproductive age); cervical XR (RA); crea (risk for CKD), K (diuretic use)
most widely used preoperative cardiac risk stratification scheme
revised cardiac risk index (RCRI)
three groups of patients in whom the risk of perioperative cardiac complications is low enough that preoperative cardiac evaluation is rarely, if ever, warranted (ACC/AHA)
undergoing low-risk surgery, at least moderate exercise capacity (>4 METS), low exercise capacity but no RCRI risk factors.
when should preoperative noninvasive cardiac testing be considered?
poor or unknown exercise tolerance based on presence and number of RCRI risk factors and nature of the surgery, provided that results will impact management
when is B-blocker recommended perioperatively (ACC/AHA)?
patients with CAD undergoing vascular surgery; intermed or high risk surgeries, including vascular surgeries in patients with >1 RCRI risk factor
when to start B blocker perioperatively if indicated?
few weeks before surgery, start low and titrate to control HR and BP without hypotensio nor bradycardia
when is preoperative spirometry indicated?
unexplained dyspnea