week 4 module 12 cardiac consult

Question 1

cardiac eval

Answer 1

ID patients at high risk so that appropriate testing and measures can be taken to minimize risk

Question 2

functional capacity

Answer 2

metabolic equivalents

- 1 MET is 3.5mL O2 uptake/kg/min

Question 3

poor exercise capacity

Answer 3

inability to walk four blocks or climb 2 flights of stairs

- assoc. with more peri-op complications

Question 4

Cardiac risk index, high risk surgeries

Answer 4

intraperitoneal
intrathoracic
suprainguinal vascular

Question 5

cardiac risk index hx of ischemic heart disease

Answer 5

Mi
\+ exercise test
current CP secondary to MI 
use of nitrates 
EKG with pathologic Q

Question 6

cardiac risk index Hx of CHF

Answer 6

pulmonary edema
bilateral crackles 
S3 gallop
PND
CSR with pulmonary vascular congestion

Question 7

Cardiac risk index Hx of cerebrovascular dis

Answer 7

TIA

stroke

Question 8

cardiac risk index DM

Answer 8

treatment with insulin

Question 9

cardiac risk index creatinine

Answer 9

> 2 mg/dl

CKD

Question 10

major predictors for complications

Answer 10

unstable coronary syndromes
decompensated HF
significant arrhythmias
severe valvular disease