7 - Preoperative stuff - aa/LL

Question 1

What routine medications are administered prior to surgery?

Answer 1

midazolam and fentanyl

Question 2

What is the minimum time period for last solid food before surgery?

Answer 2

6-8 hours

Question 3

Whose responsibility is preoperative risk evaluation?

Answer 3

anesthesiologist

Question 4

What 4 things can be used to lower patients’ anxiety about their surgery?

Answer 4

1. benzodiazepines
2. CBT
3. music therapy
4. video observation of a procedure like theirs

Question 5

Name 3 measures that are taken to help prevent surgery-related DVT/PE.

Answer 5

1. low-dose heparin or LMWH
2. pneumatic sequential compression devices
3. compression stockings

Question 6

How long should smoking ideally be stopped before a surgery to reduce risks?

Answer 6

at least 2 weeks

Question 7

T/F Informed consent is needed for both anesthesia and the surgery itself.

Answer 7

True

Question 8

T/F Beta-blockers and HTN medications should be D/C prior to surgery.

Answer 8

False! They should be continued. A little controversial over ACEi and ARBs.

Question 9

What are we worried about with bowel surgeries with a high bacterial content?

Answer 9

Wound infection and dehiscence.

Question 10

What antibiotics are used in pre surgical bowel prep to decrease the bacterial load?

Answer 10

neomycin + erythromycin

Question 11

Before surgery, should the patient d/c their daily aspirin?

Answer 11

Yes! Should be discontinued at least 1 week prior to the planned operation if bleeding is a significant risk or concern; may be continued usually at the discretion of the surgeon