PERIOPERATIVE CARE Flashcards
what is the focus of perioperative care
patient at high risk
what are the evidence of active cardiac conditions
unstable angina or acute coronary syndrome
recent MI
congestive heart failure
significant arrhythmias
severe valvular disease
risk factors
stable CHF
diabetes mellitus
prior cerebrovascular accidents
renal insufficiency
things to consider for physical examination
vital signs
particular blood pressure
hypertension
diagnosing testing includes
ECG [imaging or non-imaging=exercise stress testing]
pharmacological stress testing
what are the options available for pharmacologic stress testing
vasodilator nuclear perfusion imaging
dobutamine echocardiography
what treatment to be done as treatment to decrease perioperative cardiac risks
revascularization
=coronary artery bypass grafting
=percutaneous coronary intervention
what not to be recommended method for decreasing perioperative cardiac risks
routine coronary revascularization
what medical therapy to be given
betta blockers
stains
aspirin only if risk of myocardial ischemia is greater than bleeding risk
follow up after perioperation
obtain ECG
troponin measurements
but incase no myocardial ischemia follow up not needed
