Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ACC > Pre Op Assessment > Flashcards

Pre Op Assessment Flashcards

1
Q

What should you start with?

A

Introduce self and role

Confirm correct patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What comes next?

A

Confirm the anatomical site of the surgery (right or left)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What comes next?

A

Clarify the purpose of the interview
Explore patient’s feelings on the operation

To minimise any risks before, during or after the op
Tell them it is a good time to ask questions and make the team aware of any concerns or worries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What comes next?

A

History of Presenting Complaint

Brief and concise, no more than a few sentences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What comes next?

A

Past Medical History

  1. Previous medical problems or previous admissions
  2. Past operations +/- complications
  3. Previous anaesthetic history (PONV, problems)
  4. Chronic diseases, explicitly HASH CREDIT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is HASH CREDIT?

A 
Hypertension
Asthma/COPD
Sickle cell
HIV and Hep
CVA (stroke/TIA)
Rheumatic Fever
Epilepsy
Diabetes
Ischaemic Heart Disease
TB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What comes next?

A

Drug History

As complete as possible, asking specifically about CASES and allergies to AAA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is CASES and AAA?

A 
Contraceptives
Anticoagulants
Steroids
Ethanol
Smoking

Anaesthetics
Antibiotics
Applications (elastoplasts, iodine etc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What comes next?

A

Family History

Ask about DVT, PE and other clotting or bleeding problems.
History of allergies, especially to anaesthetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What comes next?

A

Social history

Social support, living situation, occupation, mobility, any dependents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What comes next?

A 
Review of systems including:
Last menstrual period and pregnancy
Tetanus immunisation
Dentures and crowns
GI tract: dysphagia, GORD, anorexia or weight loss, change in bowel habit, rectal bleeding
CVS/Resp: chest pain, shortness of breath, cough, sputum, palpitations
Urinary symptoms
Fits, faints, funny turns
Rashes or joint pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What comes next?

A

Check again for any further patient concerns or expectations
Ask again for any questions
Summarise findings back here if necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What comes next?

A

If informed make patient aware of time of operation and any special instructions

Arranges relevant investigations

Write up drugs including thromboprophylaxis

Thank patient and wash hands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What relevant investigations might need to be arranged?

A 
Blood tests including FBC, U+E, LFTs, Clotting, Group and Save
Urine analysis
Pregnancy test
Sickle cell test
ECG/ Chest x-ray

Depending on age of patient and surgical grade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What also may be indicated?

A

Mallampati score

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What would you do next?

A

Thorough examination of each system, with extra focus on relevant systems

ACC (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions