Pre-operative Physical Assessment Flashcards
1
Q
What are some conditions for which preoperative evaluation is strongly recommended prior to the day of the surgery?
A
- Lack of normal daily activity (elderly) within past 6 months
- Heart disease history
- Respiratory disease history
- Neuromuscular, hepatic, musculoskeletal, cancer, GI issues, endocrine issues, etc.
2
Q
How many weeks before surgery should you have the patient stop medications?
A
2 weeks, exceptions are: MAO inhibitors, psychiatric medications, ulcerative colitis meds
3
Q
Rate of MH?
A
1 in 25,000
4
Q
What is an indication of pseudocholinesterase deficiency?
A
Extended duration of sucs paralysis
5
Q
Risk factors of ischemic heart disease?
A
- Age >55
- Family history of premature CHD
- Current cigarette smoking
- HTN or bad EF
6
Q
Pack years
A
PPD x years
7
Q
4Ds of airway evaluations
A
Dentition
Distortion
Disproportion
Dysmobility
8
Q
Difficult mask airway indicators
A
Obese Bearded Elderly Snorers Endentulous
9
Q
Ideal body weight formula
A
Weight (kg) = height (cm) - x
x=100 males
x=105 females
10
Q
Normal Na+
A
135-145
11
Q
Normal K+
A
3.5-5
12
Q
Normal CO2
A
35-45
13
Q
Normal Cl
A
96-112
14
Q
Normal BUN
A
6-23
15
Q
Normal Cr
A
0.5-2.5
