Pre-op/peri-op

Question 1

What are the major risks for post op pulmonary complications

Answer 1

Question 2

strongest predictors of periop mortality

Answer 2

severe aortic stensosi

Question 3

____ inc risk of pulmonary edema and other complications

Answer 3

CHF

Question 4

6 factors that increase pulmonary risk

Answer 4

age, pulm condition, thoracic/abdominal incisions, smoker, etoh poor nutrition

Question 5

only lab that can predict pulm risk

Answer 5

albumin less than 3.5

Question 6

What to consider pre op for AIDS patients

Answer 6

CD4 for antimicrobial consideration and ART status

Question 7

What are the CD4 cutoffs for antimicrobial ppx? what med do we use and for what diseases

Answer 7

200 for pneumocystis and 100 for toxoplasmosis

bactrim for both

Question 8

6 risk factors for fungal infection

Answer 8

1. Solid organ transplantation
2. ICU 7 days
3. Prolonged abx
4. TPN
5. GI perf
6. Hemodialysis

Question 9

Rates of needle stick seroconversion per hiv, hep b and hep c

Answer 9

0.3

23-60

1.3

Question 10

PEP drugs for HIV exposure

Answer 10

zidovudine and lamivudine

Question 11

What is the window period for HIV

Answer 11

12 weeks

Question 12

screening and confirmatory tests for hiv

Answer 12

ELISA
NAT

Question 13

Stance on ART for HIV patients perioperatively

Answer 13

Can be held for a few days