Pre-op assessment Flashcards
Name 3 serious anaesthetic complications?
malignant hyperthermia
suxamethonium apnoea
anaphylaxis
difficult airway
Name 2 important resp conditions before inducing anaesthesia.
COPD/asthma
obstructive sleep apnea
Name 4 CVS conditions before inducing anaesthesia.
ACS AF HF HTN Valve disease
What endocrine and what renal condition do you want to know about before anaesthesia?
diabetes
CKD/renal disease
Name 2 neurological conditions to be aware of before anaesthesia.
stroke
epilepsy
dementia/delirium
what GI problem can make airway induction difficult?
GORD
What 3 MSK conditions can make airway placement difficult? (HINT: spine)
Ank spond
RA
OA
Name an important gynae situation that may make anaesthesia more complicated.
women of repro age-pregnancy!!
How many hours before anaesthesia can you drink water/clear fluids?
2 hours
How many hours before anaesthesia can you eat/drink milk containing drinks?
6 hours
How many hours before anaesthesia can you eat chewing gum?
2 hours
how long before surgery should warfarin be stopped? In emergency situations, what should be given to reverse warfarin?
6 days
vitamin K
how long before surgery should NOAC/DOACs (rivaroxaban, apixaban, dabigatran) be stopped?
2 days
Which out of the 4 should be stopped before surgery, due to irreversible platelet aggregation? And how many days before?
Aspirin, clopidogrel, NSAIDS, dipyridamole.
clopidogrel
7 days
Which antihypertensive should be stopped on the morning of surgery?
ACE-i
Should patients stop their anticonvulsants?
nah
If diabetics will be in long surgery or be missing a meal, what should they be put on?
insulin/dextrose sliding scale
What medication do patients need more of during surgery?
steroids
Which medication needs to be stopped 4 weeks before surgery?
COCP
Which herbal medication should be stopped 2 weeksbefore surgery?
st johns wort
Name 3 possible analgesics given preop.
paracetemol
codeine
NSAIDS
Which 3 groups require an ECG preop?
> 80y/o
60 with increased surgical risk
cardiovasc/renal difficulty
Which 2 situations do pts require FBCs & U&E?
> 60 and inc surgical risk
renal disease
CVS disease
What do pts having post op care in ITU require?
CXR
What BP on the day of surgery means the surgery CANNOT go ahead? What BP does the patients reading need to be under?
180/110
160/100
What blood result needs to be above 130 pre operatively?
haemoglobin!
Which 2 patient groups definitely need an ECG and U&E done?
cardio and renal patients
Which patient group has FBC done?
renal disease
When should a patient have a CXR?
If they have been scheduled for post op care in ITU.
What test must be done in all women of reproductive age?
pregnancy test
