Pre operative assessment

Question 1

state the pre op checks (OP CHECS)

Answer 1

operative fitness
pills
consent
history (PMH (MI, asthma, jaundice), complications of previous anaesthesia)
ease of intubation (dentures, neck arthritis, loose teeth)
clexane (DVT prophylaxis)
site (correct and marked)

Question 2

can anti epileptic medication be given during anaesthesia?

Answer 2

yes

Question 3

can b blockers medication be given during anaesthesia?

Answer 3

yes

Question 4

can OCP and HRT be given during anaesthesia and surgery ?

Answer 4

stop 4 weeks before major/ leg surgery

restart 2 weeks post op if mobile

Question 5

how many units should be crossed matched for gastrectomy?

Answer 5

4 units

Question 6

how many units should be crossed matched for AAA?

Answer 6

6 units

Question 7

what imaging investigations should be done before anaesthesia ?

Answer 7

CXR 
Echo 
ECG 
cardiopulmonary exercise testing 
PFT (pulmonary function tests)

Question 8

what does NBM mean?

Answer 8

nil by mouth

Question 9

when fasting what times can food and drink be taken?

Answer 9

> 2hrs for clear fluids

>6hrs for solids

Question 10

when should Abx prophylaxis be used for surgery ?

Answer 10

GI surgery
joint replacement

give 15-60mins before surgery

Question 11

what Abx should be given for MRSA positive ?

Answer 11

vancomycin

Question 12

how should low, medium and high risk DVT prophylaxis be treated?

Answer 12

low - early mobilisation
medium - early mobilisation + compression stockings, 20mg enoxaparin
high - early mobilisation + compression stockings, 40mg enoxaparin

Question 13

what is ASA grades?

Answer 13

physical status classification used by anaesthetists

Question 14

what many ASA grades are there?

Answer 14

5
1 - healthy
5 - moribound