Pre-Op Assessment

Question 1

What are the 3 components for Pre-OP

Answer 1

Assessment (5)

Preperation

Medication to stop

Question 2

Within Assessment, what are the 5 components

Answer 2

Previous sugeries + any problems with anaesthetic // FH of anaesthetic

Ax
Dx + OTC
Pmx
Airway Assessment

Question 3

What is the airway assessment (6)

Answer 3

Open mouth as wide as possible

Move jaw forward

Move neck forward / back

Check mallampati score

Any dentitions

Check BMI

Question 4

What is involved in preperation? (4)

Answer 4

Investigations (ECG / Preg. FBC)

2-6 Food rule

Plan for reg. meds

Consent

Question 5

When to stop Warfarin prior to surgery?

What are they placed on?

Answer 5

5 days

LMWH

Question 6

What happens to insulin / Diuretics + ACE + Hypoglycaemics prior to surgery

Answer 6

Avoid morning dose

Question 7

When do you stop COCP?

How do you continue taking COCP?

Answer 7

4 weeks prior to Sx

2 weeks after Sx

Question 8

ryanodine recptor?

Answer 8

autosomal dominant mutation in the ryanodine receptor 1, increasing calcium levels in the sarcoplasmic reticulum and increasing metabolic rate

==> malignant hyperthermia
==> dantrolene (ryanodine antagonist)