Preop Eval Flashcards
1
Q
Preop of CV
A
CHF => WORSE OUTCOMES
Aortic Stenosis => patients have fixed CO -> drop in SVR –> BAD NEWS
2
Q
RCRI
A
revised cardiac risk index (more you have, greater risk is)
- CHF
- MI (ischemic)
- CVA/TIA
- DM - insulin
- Cr >2
- Intraperitoneal/intrathoracic surgery
3
Q
AHA/ACC Guidelines
A
Know the chart
4
Q
CARP Study
A
no difference in outcomes/survival between revascularization procedure or not
5
Q
Drug Eluding Stent
A
dual antiplatelet therapy for 1 year
- prevents smooth muscle from hypertrophying which platelets don’t like
6
Q
Pulm risks for surgery
A
ASA III or more => more risk
PFTs don’t predict risk, smoking doesn’t predict risk
7
Q
Protective Ventilation
A
minute ventilation 6-8 mL/kg/mimn
PEEP (4-6)
8
Q
Neuro risks
A
seizure, post-op delirium
9
Q
Diabetes risks
A
sugars > 200 => outcomes are worse
- infections, length of stay, pain
