Pre-op assessment

Question 1

Name 3 serious anaesthetic complications?

Answer 1

malignant hyperthermia
suxamethonium apnoea
anaphylaxis
difficult airway

Question 2

Name 2 important resp conditions before inducing anaesthesia.

Answer 2

COPD/asthma

obstructive sleep apnea

Question 3

Name 4 CVS conditions before inducing anaesthesia.

Answer 3

ACS
AF
HF
HTN
Valve disease

Question 4

What endocrine and what renal condition do you want to know about before anaesthesia?

Answer 4

diabetes

CKD/renal disease

Question 5

Name 2 neurological conditions to be aware of before anaesthesia.

Answer 5

stroke
epilepsy
dementia/delirium

Question 6

what GI problem can make airway induction difficult?

Answer 6

GORD

Question 7

What 3 MSK conditions can make airway placement difficult? (HINT: spine)

Answer 7

Ank spond
RA
OA

Question 8

Name an important gynae situation that may make anaesthesia more complicated.

Answer 8

women of repro age-pregnancy!!

Question 9

How many hours before anaesthesia can you drink water/clear fluids?

Answer 9

2 hours

Question 10

How many hours before anaesthesia can you eat/drink milk containing drinks?

Answer 10

6 hours

Question 11

How many hours before anaesthesia can you eat chewing gum?

Answer 11

2 hours

Question 12

how long before surgery should warfarin be stopped? In emergency situations, what should be given to reverse warfarin?

Answer 12

6 days

vitamin K

Question 13

how long before surgery should NOAC/DOACs (rivaroxaban, apixaban, dabigatran) be stopped?

Answer 13

2 days

Question 14

Which out of the 4 should be stopped before surgery, due to irreversible platelet aggregation? And how many days before?
Aspirin, clopidogrel, NSAIDS, dipyridamole.

Answer 14

clopidogrel

7 days

Question 15

Which antihypertensive should be stopped on the morning of surgery?

Answer 15

ACE-i

Question 16

Should patients stop their anticonvulsants?

Answer 16

nah

Question 17

If diabetics will be in long surgery or be missing a meal, what should they be put on?

Answer 17

insulin/dextrose sliding scale

Question 18

What medication do patients need more of during surgery?

Answer 18

steroids

Question 19

Which medication needs to be stopped 4 weeks before surgery?

Answer 19

COCP

Question 20

Which herbal medication should be stopped 2 weeksbefore surgery?

Answer 20

st johns wort

Question 21

Name 3 possible analgesics given preop.

Answer 21

paracetemol
codeine
NSAIDS

Question 22

Which 3 groups require an ECG preop?

Answer 22

> 80y/o
60 with increased surgical risk
cardiovasc/renal difficulty

Question 23

Which 2 situations do pts require FBCs & U&E?

Answer 23

> 60 and inc surgical risk
renal disease
CVS disease

Question 24

What do pts having post op care in ITU require?

Answer 24

CXR

Question 25

What BP on the day of surgery means the surgery CANNOT go ahead? What BP does the patients reading need to be under?

Answer 25

180/110

160/100

Question 26

What blood result needs to be above 130 pre operatively?

Answer 26

haemoglobin!

Question 27

Which 2 patient groups definitely need an ECG and U&E done?

Answer 27

cardio and renal patients

Question 28

Which patient group has FBC done?

Answer 28

renal disease

Question 29

When should a patient have a CXR?

Answer 29

If they have been scheduled for post op care in ITU.

Question 30

What test must be done in all women of reproductive age?

Answer 30

pregnancy test