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Y3R6: Surgery I 👨‍⚕️ > L1: Pre-Operative Care > Flashcards

L1: Pre-Operative Care Flashcards

1
Q

Factors affecting the extent of pre-op preparation

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2
Q

The rationale (purpose) for pre-op preparation

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3
Q

Classification of surgery

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4
Q

Items of assessment of fitness for surgery

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5
Q

Items of preoperative assessment

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6
Q

Preassessment clinic

  • It aims to assess surgical patients with …….. preadmission for elective surgery.
  • Preassessmen is timed so that the gap between assessment and surgery is: …….
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7
Q

Principles of Preoperative history taking

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8
Q

Surgical Hx & Main Complaint in Surgical Hx

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9
Q

Drug Hx & Surgical Hx

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9
Q

Social Hx in Surgical Hx

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10
Q

Family Hx in Surgical Hx

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11
Q

Tips for Physical Examination in POC

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12
Q

Types of Ex in POC

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13
Q

Emergency Physical Ex in POC

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14
Q

When to perform a clinical investigation?

(POC)

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15
Q

Consideration When deciding on appropriate investigations in POC

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16
Q

When to order CBC before Surgery?

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17
Q

When to order S.Creatinine & Electrolytes before Surgery?

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18
Q

When to order Blood Glucose before Surgery?

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19
Q

When to order ECG before Surgery?

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20
Q

When to order X-ray Chest before Surgery?

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21
Q

When to order Coagulation studies before Surgery?

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22
Q

When to perform a preoperative amylase & its value?

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23
Q

Cross studies (POC)

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24
Q

ECG in POC

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25
Q

Other Investigations in POC

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26
Q

When Is Chest Radiograph required in POC?

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27
Q

When are Specialized Cardiac investigations required in POC?

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28
Q

when are Specialized Respiratory investigations required in POC?

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29
Q

Deciding To operate

Preoperative Consent & Counselling

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30
Q

It is important to recognize that all patients are different - in their ages, in their beliefs and in their worries.

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31
Q

Presenting information to patients

Preoperative Consent & Counselling

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32
Q

Obtaining Consent

Preoperative Consent & Counselling

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33
Q

Patient Identification

Identification & Documentation

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34
Q

Documentation

Identification & Documentation

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35
Q

Medical documents (medical notes, drug and fluid charts, consent forms and operation notes) are ……. documents.

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36
Q
  • All entries to the notes should be written clearly and legibly. Always write the date and time and your name and position at the beginning of each entry.
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37
Q

From a medicolegal point of view, if it is not documented then ……..

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38
Q

Optimizing the patient’s condition gives them the best possible chance of a good surgical outcome.

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39
Q

Patients Optimization Recommendations

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40
Q

It is essential that the acutely ill surgical patient is adequately ………. before theatre.

A

resuscitated and stabilized

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40
Q
  • In extreme and life-threatening conditions this may not be possible (e.g., ruptured abdominal aortic aneurysm or AAA, trauma) and resuscitation ……. definitive treatment.
A

should not delay

40
Q

Most emergency patients fall into one of two categories →

A

hemorrhage or sepsis.

41
Q

what are The general principles of resuscitation?

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42
Q

Correction of Dehydration

POC

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43
Q

Dialysis for severe renal impairment before theatre

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44
Q

Dehydrated patients may exhibit ……. drops in blood pressure on anesthetic induction and aggressive preoperative fluid management is often required.

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45
Q

Anemia Correction

POC

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46
Q

Pain TTT

POC

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46
Q

Antibiotics

POC

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47
Q

Stomach Decompression

POC

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48
Q

Def of Prophylaxis

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49
Q

Stopping smoking ….. respiratory function even if the patient can only stop for ……

A

improves, 24 hours.

50
Q

Stopping medications (e.g., the oral contraceptive pill for a ……., aspirin or clopidogrel for ……. before surgery) to avoid risk of …….

A

month, two week, DVT

51
Q

Drugs Gives in POC

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52
Q

Preoperative Marking

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53
Q

Preoperative marking is Important especially when …..

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54
Q

what are Two main prognostic scoring systems which are in current use?

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55
Q

Characters of ASA System

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56
Q

ASA system

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57
Q

APACHE II System

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58
Q

APACHE III System

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59
Q

DVT is common in surgical patients → Can cause ……

A

pulmonary edema with high mortality.

60
Q

Risk factor for DVT

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61
Q

Thromboembolic Prophylaxis

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62
Q

what does antibiotic prophylaxis depend on?

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63
Q

Antibiotics according to Classes of operative procedure

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64
Q

Classes of operative procedure

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65
Q

Recommendations

Preoperative Managment of DM

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66
Q

Reasons for good glycemic control

Preoperative Managment of DM

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67
Q

pre-operative precautions in patients with diabetes

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68
Q

Management of type one diabetes mellitus

Preoperative Managment of DM

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69
Q

Management of type two DM

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70
Q

Oral Hypoglycemic Drugs

Preoperative Managment of DM

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71
Q

what to do if

  • A patient who has a surgery has acute hepatitis?
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72
Q

what to do if

  • A patient who has a surgery has chronic hepatitis?
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73
Q

what to do if

  • A patient who has a surgery has obstructive jaundice?
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74
Q

Child’s classification of the severity of chronic liver disease

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75
Q

Pugh’s modification replaces nutrition with prothrombin time.

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76
Q

Risk factors for preoperative bleeding

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77
Q

Hx of Coagulapathy

(POC)

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78
Q

Investigations for Coagulapathy

(POC)

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79
Q

What causes elevated PT?

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80
Q

What causes elevated APTT?

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81
Q

What causes elevated Both PT & APTT?

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82
Q

Managment of severe clotting deficiency

POC

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83
Q

Managment of Low platelet count or abnormal platelets

POC

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84
Q

How to Manage patient on heparin reoperatively?

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85
Q

Nutritional Assessment

POC

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86
Q

Preoperative Considerations in IHD

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87
Q

..

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88
Q

problems of pacemakers and implanted ventricular defibrillators during the surgical period

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89
Q

What are intraoperative precautions regarding pacemakers and implanted ventricular defibrillators?

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90
Q

considerations according to drugs in pre-operative care

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91
Q

Complications of steroid therapy perioperatively

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92
Q

Management of patients on pre-op steroid therapy

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93
Q

MOA of Warfarin

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94
Q

Antidote of Warfarin

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95
Q

Surgical Consideration of Warfarin

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96
Q

Example of Antiplatelet agents

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97
Q

MOA of Antiplatelet agents

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98
Q

Usage of Antiplatelet agents

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99
Q

Surgical Consideration of Antiplatelet agents

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100
Q

Done

A

Y3R6: Surgery I 👨‍⚕️ (36 decks)

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