History Taking/ Pre-Op Assessment Flashcards
What are the 8 goals of the pre-op assessment (Know this for orals)?
- Optimize care, satisfaction and comfort. 2. minimize morbidity and mortality 3. Minimize surgical delays or cancellations 4. Determine appropriate post-op disposition 5. Evaluate health status and determine if any further consultive, diagnostic investigations are needed 6. formulate most appropriate anesthetic plan 7.Optimize communication among members of the surgical and anesthetic team 8.Be efficient and cost effective
What are the 3 main questions answered by the pre-op assessment?
- Is the patient in optimal health 2. Can or should the patient’s physical or mental health be optimized before surgery 3. Risk assessment, does the patient have any health problems or use any medications that could unexpectedly influence perioperative events.
The assessment is the _________ upon which we build our plan.
foundation
How do you answer the 3 main questions of the pre-op assessment?
patient chart, prior anesthetic records, consult with PMD, history taking, physical exam, lab tests, discussion of the anesthesia plan that provides accurate information and reduces patient anxiety
According to Miller, 7th edition, What percentage of diagnosis’ can be made by history alone?
56%
According to Miller, 7th edition, What percentage of diagnosis’ can be made by history plus physical assessment?
73%
How well can cardiovascular disease be diagnosed by history and physical alone?
2/3rds of cases by history alone. An additional 25% if you add physical assessment.
If you add diagnostics like CXR and EKG to your assessment, how much more accurately will you be able to diagnose a condition?
3% more accuracy
Pulmonary, neuro, and urinary conditions are most accurately diagnosed by?
history
Which of the following sources of information typically provides the anesthesia provider with the most useful data? History or Physical or Diagnostics.
History
