Perioperative Flashcards
What is pre operative anemia associated with?
Increased morbidity and mortality after both cardiac and non cardiac surgery
What are the risk factors associated with hypertension in the perioperative period?
Heart failure
Renal dysfunction
MI
Which two anti-hypertensives should be continued due to rebound effect?
Clonidine
Beta blockers
What do we tell patients to do with their diuretic the morning of surgery p?
Hold it due to possible electrolyte abnormalities and the fluid replacement problems it may cause.
Potassium derangements specifically are the concern as this can cause potentiate ileus, decrease response to NMBs, and cardiac arrhythmia
For what surgeries should aspirin be held perioperatively?
Intracranial surgeries, posterior eye surgery, prostate, middle ear and spine
How long should dual antiplatelet therapy be continued after DES?
1 year
How long should dual antiplatelet therapy be continued after bare metal stent?
4-6 weeks