Test 1: General Flashcards
of days beforehand to stop ASA preop
7
coumadins antidose
vit k (takes 1-2 days to reverse)
a faster antidote to coumadin than vitamin k
FFP
herbal medicines have what more common adverse affect….
make you bleed
which of of these is not a risk factor for surgical/anesthesia complication? copd, obesity, tobacco history, neuromuscular disease, coma, history of cancer, age
history of cancer
preop for pulmonary disease should include…
baseline arterial blood gas, oxygen saturation, and a pulmonary function tests
which of these is not a treatment for pulm patients preop? 1. nebulized SABAs 2. steroids 3. chest PT 4. incentive spirometry
incentive spirometry
in a pulmonary preop workup using PFTs, if the FCV/FEV1 ratio is less than 50% you should think what about their intra-op period?
this patient has a higher risk of surgical complications
T or F, diabetics in the OR are at increased risk for infection?
true
Gatroparesis can cause…
aspiration
who gets neurogenic bladder more commonly
diabetics
does hypothyroidism or hyperthyroidism put you at risk for a-fib intra op?
hyperthyroidism
in a trauma, a lab test that can tell what specific clotting factors are working is called…
Thromboelastography
Routine pre-op labs for bleeding include…
PT, PTT (not INR)
a paitient with a history of kidney problems present to you for pre-op evaluation, you notice a fistula in the patients arm, what should you do?
Renal specific: obtain baseline labs (electrolytes, BUN, Cr) and order nephro consult. Additional items: patient weight, CBC, coag profile, and U/A
at what age is an EKG and Xray mandatory preop?
50+
Low potassium and a low magnesium can cause what?
arrythmias
patients must be NPO _____ hours preop
8
Abx should be given _____ hours pre-incision
1
Call MD if Systolic blood pressure drops below…
90
Call MD if pulse is between ___&____
60, 110
Call if respiration’s exceed
30
Call if temp exceeds
101.5
Call if urine output is less than
250 ml per shift (or less than .5/kg/hr)