Medical MGMT & Preop Assesment

Question 1

Define 1 metabolic equivalent (MET)

Answer 1

1 MET = 3.5 mL O2 uptake/kg/min.

The resting oxygen uptake in sitting position.

Question 2

Poor functional status is defined by:

Answer 2

< 4 METs (cannot climb a flight of stairs)

Question 3

Metabolic equivalent of strenuous sports?

Answer 3

> 10 METs

Question 4

Name the 3 acute coronary syndromes (ACSs):

Answer 4

1. ) unstable angina
2. ) non-ST-elevated MI
3. ) ST-elevated MI

Question 5

Initial treatment of ACS

Answer 5

MONA

1. ) Morphine (pain relief, decrease sympathetic output)
2. ) Oxygen via facemask
3. ) Nitrates administered sublingually
4. ) Aspirin 325 mg

Question 6

Patients with recent MI should avoid elective surgery for how long?

Answer 6

6 months

some suggest as early as 6 wks with advances in tx of MI.