Pre-op testing + starvation

Question 1

In ASA 1 patients, pre-op assessment may include;
?: consider in all patients undergoing ? surgery, or if ?.
ECG: if >? years of age.

Answer 1

fbc
major
elderly
40

Question 2

Other investigations are based on the history, and may include;

U&Es: Important in patients on ?, ? and ?. Also patients
with diabetes, ? disease, vomiting/?.

LFTs: If known ? disease, history of ?, metastatic disease or ?.

Answer 2

digoxin
diuretics 
steroids
renal
diarrhoea
hep
alcoholism
malnutrition

Question 3

Other investigations are based on the history, and may include;

BM - in ? or if on long term ?
Clotting - if history /fh of ?, or on ?
? - if history of cardioresp disease, or suspected/known malignancy

Answer 3

diabetics
steroids
bleeds
anticoag
cxr

Question 4

Other investigations are based on the history, and may include;

Echo: to assess ??F in patients with ? or ? disease that have ? ability limited by another condition. (therefore wouldn’t know if got symptoms on exertion)

Respiratory function tests: in those with dyspnoea, ? or ?

?-spine XR: in RA patients, history of ? ? or difficult ?

Answer 4

LVF
ischaemic
valvular
exercise
asthma
copd
c
major trauma
intubation

Question 5

The purpose of pre-operative starvation is to minimise the volume of ? contents, thus lowering the risk of ? and ?;

Increased pre-operative starvation leads to greater ?, ????, ? and discomfort.

Answer 5

gastric
regurgitation
aspiration
dehydration
PONV
anxiety

Question 6

Solid food (including ?): ? hours.

Breastfed infants: ? hours.

Clear fluids (including black tea, coffee) : ? hours.

Answer 6

milk
6
4
2