Perioperative Management

Question 1

Perioperative period

Answer 1

time period descriving the duration of a patients surgical procedure (admission, ansesthesia, surgery, recovery)

Question 2

Three phases of surgery

Answer 2

Peripoerative
Intraoperative
Postoperative

Question 3

Surgical Emergency priorities

Answer 3

AMPLE

Allergies 
Medications 
PMx 
Last meal 
Events preceding the emergency

Question 4

Class I surgical risk

Answer 4

healthy patient

Question 5

Class II surgical risk

Answer 5

middle to moderate systemic disease

Question 6

Class III surgical risk

Answer 6

severe systemic disease

Question 7

Class IV surgical risk

Answer 7

severe systemic disease with constant threat to life

Question 8

Class V surgical risk

Answer 8

Moribound person who is not expected to live without surgery

Question 9

Class VI surgical risk

Answer 9

declared brain dead person who’s organs are being removed for donation purposes

Question 10

carrying 24 lbs up 8 steps
Carrying objects that weigh 80 lbs
performing outdoor work (shoveling)
participating in recreation (skiing, basketball)

Answer 10

Class I comorbid consideration

Activity requiring >6 mets

Question 11

Having sexual intercourse without stopping
Walking at 4mph on level ground
Performing outdoor work (gardening)
Participating in recreation (dancing foxtrot)

Answer 11

Class II comorbid consideration

Activities requiring >4 but <6 mets

Question 12

Showering, dressing without stopping, stripping and making a bed
walking 2.5 mph on level ground
Performing outdoor work (cleaning windoes)
Participating in recreation (golfing, bowling)

Answer 12

Activity requiring >1 but not >4 METs

Class III comorbid consideration