Pre-op Work up and Testing

Question 1

Lab work indicated for H&H where major bloos loss is expected and in all pt >65 having major surgery

Answer 1

CBC

Question 2

Lab work indicated for Pt >50 with moderate risk surgery, anticipated hypotension (spine surgery), and possible use of nephrotoxic meds

Answer 2

serum Cr

Question 3

Lab work indicated for pt on diuretics, ACEI, Warfarin, digoxin or with known renal disease

Answer 3

CMP (electrolytes)

Question 4

Lab work indicated for personal or fam Hx of diabetes or pts who wil undergo bypass surgery

Answer 4

blood glucose

Question 5

What is the best determinant of bleeding tendancies?

Answer 5

history of coagulation in minor trauma

Question 6

Lab work indicated for prosthetic joint implantation

Answer 6

UA

Question 7

Lab work indicated for all women of reproductive age

Answer 7

prego test

Question 8

Pre-op testing indicated for all pts over 50 (PANCE book says 40). Required for pts with IHD, CHF, Arrythmias, PAD, Cerebral Vascular disease, DM, Renal insufficiency

Answer 8

ECG

Question 9

Pre-op testing indicated for Pt >60 and in all patients regardless of age with h/o significant pulmonary or cardiac disease

Answer 9

CXR

Question 10

Therapy indicated pre-operatively for patients undergoing Thorasic/abdominal surgery, who have h/o smoking or cadiac/pulmonary disease

Answer 10

incentive spirometry