Pre-employment

Question 1

Can we give surgical clearance?

Answer 1

No only evaluate

Question 2

High risk surgeries include?

Answer 2

1. Aortic and major vascular sx

2. peripheral vasccular sx

Question 3

For elective surgery evaluate…

Answer 3

1. focus on CV and planned anesthesia

Question 4

For emergent surgery evaluate

Answer 4

rapid assessment of CV, VS, volume status, hct., lytes, renal function, UA, EKG

Question 5

Diseases that increase perioperative risk

Answer 5

1. HTN, CAD, cerebral vascular diseases
2. DM
3. Pulm dx
4. renal dx
5. hematologic disorders

Question 6

Components of severe aortic stenosis

Answer 6

1. mean pressure gradient > 40mmHg
2. aortic valve less than 1.0cm
3. symptomaic (dyspnea, syncope, angina)
4. GET CARDIOLOGY CONSULT

Question 7

Components for symptomatic mitral stenosis

Answer 7

1. progressive dyspnea on exertion
2. exertional presyncope
3. HF- dyspnea, syncope, angina

Question 8

Do patients on BB stay on them before surgery?

Answer 8

Yes

Question 9

Contraindications to BB before vascular surgery

Answer 9

1. asthma
2. AV block
3. BB intolerance

Question 10

What is obesity BMI

Answer 10

30

Question 11

What is hypoventilation related to obesity called?

Answer 11

Pickwickian

Question 12

If restrictive or obstructive pulm disease determine what?

Answer 12

1. functional capacity
2. response to bronchodilaors
3. in hospital obtain spirometry or ABG

Question 13

What should creatinine be before surgery?

Answer 13

CC < 2mg/dL