Preventative Care/Pre-op Medicine Flashcards
What is the low dose CT scan age range recommendations?
Age 50-80 years, remember patient needs at least 20 pack years, did not quit smoking within the last 15 years
What is the following age range:
AAA screening, age recommendations
Age > 65 years old, male, and smoked over 100 cigarettes in their lifetime
Remember, this only needs to be done x 1
The following conditions have an increased risk of what?
Sclerosing Adenomas
Dense Breast tissue
Early Menstrual Cycle
Complex Fibroadenomas
Intraductal papilloma
Breast Cancer, most risks are fairly low
What is a common sleep disorder characterized by difficulty falling or staying asleep, resulting in adequate sleep and daytime dysfunction?
Insomnia
Pre-operative management
If the patient has known Cardiovascular disease undergoing a moderate to high risk surgery, what may be helpful to order before surgery?
Pre-operative EKG
High risk CV conditions: CAD, PAD, Arrthymia, CVA
Pre-operative management
If a patient has a MET score greater than what, they can proceed to surgery with no issues?
METS > 4, ask about activity around house and able to climb a flight of stairs
Duke Activity Status Index
With Pre-operative management:
A patient needs surgery after cardiac stent placement, what should be done?
Dual anti-platelet therapy should be uninterrupated for 30 days in BMS
DES should be uninterrupated for 3-6 months
Acute surgery is needed, and plavix cessation is discussed. How long should a patient wait until stopping this medication?
Plavix should be continued for 3 months, uninterrupted before complete cessation is considered
Aspirin should be started and restarted when able
Pre-operative
How long should warfarin be held and restarted after surgery?
Hold Warfarin 5 days before surgery, restart in 12-24 hours (based on surgery recomm.)
After surgery, what is the DVT plan?
Locally invasive Ovarian Cancer, total abdominal hysterectomy, BMI 33, and ascities
Low molecular weight heparin for 4 weeks after surgery
