Pt Evaluation Flashcards

1
Q

Unstable Angina

A

Tx in more controlled environment

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2
Q

Recent MI/Complicated MI

A

Caution w/ epi and stress

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3
Q

Uncomplicated MI >3mo ago

A

Tx as normal

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4
Q

Recent Coronary Artery Bypass Surgery (CABG)

A

Caution w/ epi and stress

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5
Q

CABG (uncomplicated >3 mo)

A

Similar to MI, tx as normal

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6
Q

Controlled arrhythmia

A

Caution w/ epi and stress

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7
Q

Uncontrolled arrhythmia

A

Tx in more controlled environment required

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8
Q

Controlled hypertension

A

Caution w/ epi and stress

- additional caution w/ drug interactions

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9
Q

CHF

A

Tx as normal

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10
Q

Stroke

A

Tx as normal

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11
Q

Currently at risk of a stroke

A

Caution with epi

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12
Q

Controlled diabetes

A

Tx as normal

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13
Q

Uncontrolled CHF

A

Reduce stress

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14
Q

Uncontrolled diabetes

A

Monitor for problems

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15
Q

Severe hypertension

A

Limit epi, maybe tx in more stable location?

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16
Q

Uncontrolled hyperthyroidism

A

Means the pt doesn’t know they have it

- caution epi and stress

17
Q

Asthma

A

Tx as normal

18
Q

Pheochromocytoma

A

Rare tumor

  • defer tx if not treated
  • avoid epi and stress
19
Q

Renal disease

A

Tx as normal

- always treat day after dialysis

20
Q

Liver diseases

A

Tx as normal

21
Q

Pregnancy

A

Tx as normal

- avoid 1st and 3rd trimester if possible

22
Q

Coagulopathy

A

Alter pathway of epi

23
Q

Methemoglobinemia

A

Avoid prilocaine!

- lidocaine should be ok

24
Q

COPD

A

May need to keep chair time shorter

25
Q

Cocaine

A

Delay for 24 hrs

- caution with epi

26
Q

Malignant hyperthermia

A

Problems with ester drugs (BUT WE DONT GIVE ANYWAYS)

- give amides

27
Q

Atypical plasma pseudocholinesterase

A

Problems with esters

- give amides

28
Q

Stable Angina

A

Caution w/ epi and stress