Principles of assesment Flashcards
1
Q
principles of assessment:
A
Diagnosis • Operation • Anaesthesia • Fitness for operation • High risk • After operation
2
Q
diagnosis:
A
What is the provisional diagnosis • Important aspects of history • Findings on examination • Results of investigation • Tissue diagnosis • Further investigations
3
Q
operation?
A
what is planned?
has anything changed?
special risks
any routine checks e.g bloods
4
Q
anaesthesia?
A
what type of anaesthesia do they normally take?
5
Q
are the fit for operation?
A
any intercurrent diseases?
does surgical condition give rise to any problems.
any drugs the patient is on?
6
Q
high risk patient?
A
• Ischaemic heart disease • Congestive cardiac failure • Arterial hypertension • Chronic respiratory disease • Diabetes mellitus • Cardiac arrhythmias anaemia
7
Q
high risk groups?
A
- Babies
- Patients over 60years
- Elderly
- Smokers
- Obese
- Patients with intercurrent disease
8
Q
what to consider in babies?
A
fluids
heat loss: warm blanket
drugs: check
9
Q
over 60?
A
cardiovascular disease chest x ray elderly: confusion hypoatraemia: low sodium immobility: so need good nursing
10
Q
smokers:
A
stop smoking 4 weeks prior to surgery
pre and post op physiotherapy
increased risk of MI so avoid HYPOXIA
11
Q
obese?
A
high risk for DVT
reduced mobility
12
Q
essential pre operative assesment?
A
history taking physical examination collate information about diagnosis discuss operation and obtain consent mark op site inform the thetatre prophylactic medication planning rehab and convolescence
