Chapter 12: Preop 101 Flashcards

1
Q

When can a patient eat prior to major surgery?

A

Patient should be NPO after midnight the night before or for at least 8 hours before surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What risks should be discussed with all patients and documentedon the consent form for a surgical procedure?

A
  • Bleeding
  • infection
  • anesthesia
  • scar
  • other risks are specific to the individual procedure
  • also MI, CVA, and death if cardiovascular disease is present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

If a patient is on antihypertensive medications, should the patienttake them on the day of the procedure?

A

Yes (remember clonidine “rebound”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If a patient is on an oral hypoglycemic agent (OHA), should the patient take the OHA on the day of surgery?

A

Not if the patient is to be NPO on the day of surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If a patient is taking insulin, should the patient take it on the day ofsurgery?

A

No, only half of a long-acting insulin (e.g., Lente) and start D5NS IV; check glucose levels often p_reoperatively, operatively, and postoperatively_

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Should a patient who smokes cigarettes stop before an operation?

A

Yes, improvement is seen in just 2 to 4 weeks after smoking cessation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What laboratory test must all women of childbearing age have before entering the O.R.?

A

β-HCG and CBC because of the possibility of pregnancy and anemia from menses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a preoperative colon surgery “bowel prep”?

A

Bowel prep with

  • colon cathartic (e.g., GoLYTELY®)
  • oral antibiotics (neomycin and erythromycin base),
  • IV antibiotic before incision (controversial)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Has a preoperative bowel prep been shown conclusively to decrease postoperative infections in colon surgery?

A

No, there is no data to support its use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What must you always order preoperatively for your patientundergoing a major operation?

A
  1. NPO/IVF
  2. Preoperative antibiotics
  3. Type and cross blood (PRBCs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What electrolyte must you check preoperatively if a patient is on hemodialysis?

A

Potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Who gets a preoperative ECG?

A

Patients age >40 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly