Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

AS - N928 Basic Principles of Anesthesia > Preop Interview > Flashcards

Preop Interview Flashcards

1
Q

AANA Standard 2

A

Pre-anesthesia patient assess & evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

AANA Standard 4

A

Informed consent for anesthesia care & related services

Exception: Emergency surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

AANA Standard 5

A

Documentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Preop Evaluation Goals

A

Obtain medical & surgical histories
Evaluate patient & determine need for preop studies or specialty consultations
Formulate & deliver a safe anesthetic plan
Minimize periop morbidity & mortality
Optimize patient safety & satisfaction
Prevent surgical cancellations & delays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Essential Components

A 
BMI (height & weight)
Allergies
Medications
NPO status
Previous surgeries - anesthesia and/or complications
Family history Malignant Hyperthermia
Pregnancy?
Systems review
Baseline level cognition
Airway assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

BMI

A

kg/m^2

[weight (lbs) / (height (in)^2)] x 703

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Allergies

A

Drugs, dyes, contrast, latex, food, tape

Reaction
Allergy vs. side effects
Throat/tongue swelling or difficulty breathing = anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anesthesia & Surgical History

A

Difficult intubation
Prolonged sore throat >2 days
Significant weight gain since previous surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Malignant Hyperthermia History

A

Patient or family member
Outcome
Genetic testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

NPO

A

Nil per os
Clear liquid (water, black coffee, tea, pulp-free juice, carbonated beverage) 2hr
Breastmilk 4hr
Formula, cow’s milk, tea or coffee w/ milk, full liquids, light meal 6hr
Full fried or fatty meal 8hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Selleck’s Maneuver

A

Cricoid pressure
Attempts to prevent aspiration
Straight downward force on the cricoid cartilage
Compresses the esophageal lumen b/w cricoid cartilage & cervical spine
Start w/ 3lbs ↑6.6-8.8lbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Mallampati Class I

A

Faucial pillars, hard palate, soft palate, & full uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mallampati Class II

A

Faucial pillars, soft palate, & partial uvula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mallampati Class III

A

Soft palate & uvula base

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Mallampati Class IV

A

Hard palate only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mouth Opening

A

Assess inter-incisor gap <2 fingers indicates difficult airway (at least 3 fingers = ideal)
Temporomandibular joint
- Stiffness decreases w/ induction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patil’s Test

A

Thyromental distance
Assess mandibular space available to displace the tongue
Patient extends head w/ mouth closed
Measure from thyroid cartilage upper edge to mentum (chin)
Normal 3 fingerbreadths (6cm)
Ideal 7-8cm typically easy intubation
6-7cm questionable
<6cm ↑risk difficult intubation
*Consider potential chin implant (scar) or plastic surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Upper Lip Bite Test

A

Assesses ability to displace jaw forward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Prayer Sign

A

Indicates joint mobility (reflects cervical spice)

+ prayer sign unable to press palms flat → difficult to align axes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Cervical Mobility

A

Look up, down, left, & right
Any pain, numbness, or tingling?
Sniffing position - align OPL axes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Neck Circumference

A

> 45cm indicates difficult intubation

BMI >40kg/m^2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Sternomental Distance

A

Normal 13.5cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Atlanto-Occipital Joint

A

Normal extension 35°

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Medications

A 
OTC
Prescriptions
Vitamins/minerals
Herbal supplements
Home remedies

Drug, dose. & last taken

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

TAKE

A 
β blockers
GERD
Ca2+ channel blockers
Bronchodilators
Antiarrhythmics
Steroids 
Diuretics (CHF)
Antipsychotics
Thyroid
Antiepileptics 
*Anticoagulants per surgeon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

HOLD

A 
Oral hypoglycemics
ACEi
ARBs
Diuretics (no CHF)
Herbal supplements
*Anticoagulants per surgeon
27
Q

Cardiovascular

A 
HTN
Angina
CAD
MI
Valvular disease
Syncope
CHF
Edema or dyspnea
Arrhythmias
28
Q

Recent MI

A

<6mos

29
Q

Respiratory

A 
Asthma
Chronic bronchitis
Emphysema
Recent URI
Pneumonia
TB
OSA
Tobacco use
30
Q

Neurological

A 
Cognitive function
Stroke
TIA
Headaches
Seizures
Neuropathy
31
Q

Gastrointestinal

A 
GERD
Hiatal hernia
Bowel obstruction
N/V
Motion sickness
32
Q

Aspiration Risk

A 
Uncontrolled GERD
Stroke
Diabetes (gastroparesis)
Morbid obesity
↑abdominal pressure (ascites or edema)
Bowel obstruction
Pregnancy >12-14wks
Trauma SNS response
33
Q

Endocrine

A

Diabetes

Hyper/hypothyroidism

34
Q

Autoimmune

A

Rheumatoid arthritis

35
Q

Musculoskeletal

A 
Multiple sclerosis
Myasthenia gravis
Myopathy
Fibromyalgia
Myotonias
Obesity
Sjogren's syndrome
36
Q

Hepatic

A 
Hepatitis
Jaundice
Cirrhosis
Alcohol
LABS: PT/PTT, HFP, EKG
37
Q

Renal

A

CKD
Failure
ESRD
Dialysis

  • Last dialysis
  • Chemistry
38
Q

Social

A

Psych
Alcohol
Drugs

39
Q

Hematologic

A 
Bleeding or coagulation disorder
Anemia
ITP
DVT or PE
Anticoagulant therapy
Sickle cell
Transfusion history (previous blood products)
40
Q

Oncological

A

Chemo/radiation

Last treatment

41
Q

Infectious Disease

A

HIV
AIDS
Herpes
Shingles

42
Q

AANA Standard III

A

Anesthetic plan

43
Q

ASA Classifications

A

I - normal, healthy patient
II - mild systemic disease
III - severe systemic disease
IV - severe systemic disease, constant threat to life
V - moribund patient not expected to survive w/o surgery
VI - declared brain dead, organ procurement
E - emergency

44
Q

AANA Standard IV

A

Informed consent

45
Q

AANA Standard V

A

Documentation

46
Q

Pre-Anesthesia Testing AGE

A

50-60yo EKG

>60yo EKG & CBC

47
Q

Pre-Anesthesia Testing

Procedures w/ Blood Loss

A

CBC

48
Q

Pre-Anesthesia Testing

CV Disease

A

EKG & basic chemistry

49
Q

Pre-Anesthesia Testing

Pulmonary Disease

A

EKG

50
Q

Pre-Anesthesia Testing Malignancy

A

EKG & CBC

51
Q

Pre-Anesthesia Testing

Radiation Therapy

A

EKG & CBC

52
Q

Pre-Anesthesia Testing

Hepatic Disease

A

EKG, HFP, & PT/PTT

Hepatitis

53
Q

Pre-Anesthesia Testing

Renal Disease

A

EKG, basic chemistry, & PT/PTT

54
Q

Pre-Anesthesia Testing

Bleeding Disorder

A

CBC, PT/PTT, & platelet function assay

55
Q

Pre-Anesthesia Testing

Diabetes

A

EKG, basic chemistry, & glucose

56
Q

Pre-Anesthesia Testing

Diuretic

A

Basic chemistry

57
Q

Pre-Anesthesia Testing

Digoxin

A

EKG, basic chemistry, & digoxin level

58
Q

Pre-Anesthesia Testing

Steroid

A

Basic chemistry & glucose

59
Q

Pre-Anesthesia Testing

CNS Disease

A

EKG, CBC, basic chemistry, & glucose

60
Q

Pre-Anesthesia Testing

Coumadin

A

PT/PTT

61
Q

Pre-Anesthesia Testing

Recent Pneumonia

A

CXR

62
Q

Pre-Anesthesia Testing

Implant Procedures

A

UA

63
Q

Pre-Anesthesia Testing

Rheumatoid Arthritis or Down’s Syndrome

A

Flexion/extension C-spine films

Consult anesthesia

AS - N928 Basic Principles of Anesthesia (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions