Preoperative care Flashcards
elective surgery
not needed for life
emergency surgery
to save a life
inpatient setting
admitted to hospital during and after surgery
ambulatory setting/outpatient
go home after surgery
reasons for surgery
diagnosis
cure
palliation
preventioin
cosmetic improvement
exploration
patient interview aspects
health info, allergies
provide and clarify information including anesthesia
assess pt emotional state and readiness for surgery
subjective assessmet
psychosocial: fear, anxiety, hope
past medical history
all current meds, substance use/abuse
allergies: drug and nondrug, intolerances and sensitivities
review of systems
cardiovascular review
pulse, BP, color, cap refill
ECG
cardiology consult if significant history
ask if pt has implanted cardiovascular/defibrillator or pacemaker
labs: cardiac enzymes, potassium, coagulation study
venous thromboemolism risk
respiratory review
advantigious lung sounds
infection, COPD, asthma, smoking, sleep apnea
pulmonary function tests
pulse ox
arterial blood gases
neurologic reveiw
understand commands
strength
cognition, vision, hearing
elderly: what is baseline
genitourinary review
labs: BUN, creatinine
voiding issue? use catheter?
have void b/f surgery
integumentary review
history of skin problems
tatoos, piercings, scars
hepatic review
labs: liver enzymes
coagulation studies
Musculoskeletal review
mobility issues, use walker/cane
elderly: TUG test
endocrine review
diabetes, glucose readings
thyroid function
