Pt Evaluation Flashcards by Alex Cleveland

Q

Unstable Angina

A

Tx in more controlled environment

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Q

Recent MI/Complicated MI

A

Caution w/ epi and stress

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Q

Uncomplicated MI >3mo ago

A

Tx as normal

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Q

Recent Coronary Artery Bypass Surgery (CABG)

A

Caution w/ epi and stress

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Q

CABG (uncomplicated >3 mo)

A

Similar to MI, tx as normal

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Q

Controlled arrhythmia

A

Caution w/ epi and stress

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Q

Uncontrolled arrhythmia

A

Tx in more controlled environment required

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Q

Controlled hypertension

A

Caution w/ epi and stress

- additional caution w/ drug interactions

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Q

CHF

A

Tx as normal

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Q

Stroke

A

Tx as normal

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Q

Currently at risk of a stroke

A

Caution with epi

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Q

Controlled diabetes

A

Tx as normal

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Q

Uncontrolled CHF

A

Reduce stress

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Q

Uncontrolled diabetes

A

Monitor for problems

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Q

Severe hypertension

A

Limit epi, maybe tx in more stable location?

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Q

Uncontrolled hyperthyroidism

A

Means the pt doesn’t know they have it

- caution epi and stress

Q

Asthma

A

Tx as normal

Q

Pheochromocytoma

A

Rare tumor

defer tx if not treated
avoid epi and stress

Q

Renal disease

A

Tx as normal

- always treat day after dialysis

Q

Liver diseases

A

Tx as normal

Q

Pregnancy

A

Tx as normal

- avoid 1st and 3rd trimester if possible

Q

Coagulopathy

A

Alter pathway of epi

Q

Methemoglobinemia

A

Avoid prilocaine!

- lidocaine should be ok

Q

COPD

A

May need to keep chair time shorter

Q

Cocaine

A

Delay for 24 hrs

- caution with epi

Q

Malignant hyperthermia

A

Problems with ester drugs (BUT WE DONT GIVE ANYWAYS)

- give amides

Q

Atypical plasma pseudocholinesterase

A

Problems with esters

- give amides

Q

Stable Angina

A

Caution w/ epi and stress