Exam (elaborations)
Surgery EOR- Preoperative Postoperative Care Exam with Verified Answers
Surgery EOR- Preoperative Postoperative Care Exam with Verified Answers
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Surgery EOR- Preoperative Postoperative
Care Exam with Verified Answers
When nncan nna nnpatient nneat nnprior nnto nna nnmajor nnsurgery? nn- nnANSWER: nn✔ nnNPO nnafter nnmidnight nnor nnat
nnleast nn8 nnhours
What nnrisks nnshould nnbe nndiscussed nnwith nnall nnpatients nnand nndocumented nnon nnthe nnconsent nnform nnfor nna
nnsurgical nnprocedure? nn- nnANSWER: nn✔ nnRisk: nnBleeding, nninfection, nnanesthesia, nnscars
If nna nnpatient nnis nnon nnanti-HTN nnmeds nnshould nnthe nnpatient nntake nnthem nnon nnthe nnday nnof nnthe
nnprocedure? nn- nnANSWER: nn✔ nnYes
Should nna nnpatient nnwho nnsmokes nncigarettes nnstop nnbefore nnan nnoperation? nn- nnANSWER: nn✔ nnYes nn-
nnimprovement nnis nnseen nnin nnjust nn2-4 nnweeks nnof nnsmoking nncessation
What nnlab nntest nnmust nnall nnwomen nnof nnchildbearing nnage nnhave nnbefore nnentering nnthe nnOR? nn- nnANSWER:
nn✔ nnB-Hcg nnand nnCBC
What nnis nna nnpreop nncolon nnsurgery nn"bowel nnprep"? nn- nnANSWER: nn✔ nnBowel nnprep nnwith nna nncolon
nncathartic nn(GoLYTELY), nnoral nnabx nn(neomycin, nnerythromycin), nnIV nnantibiotic nnbefore nnincidsion
What nnmust nnyou nnalways nnorder nnpreoperatively nnfor nnyou nnpatient nnundergoing nna nnmajor nnsurgery? nn-
nnANSWER: nn✔ nn1. nnNPO/IVF
2. nnPreop nnabx
3. nnType nnand nncross nnblood nn(PRBCs)
What nnelectrolyte nnmust nnyou nncheck nnpreoperatively nnif nna nnpatient nnis nnon nnhemodialysis? nn- nnANSWER:
nn✔ nnPotassium
Who nngets nna nnpreop nnEKG? nn- nnANSWER: nn✔ nnPatients nnover nn40 nnor nnundergoing nncardiac nnprocedure
,What nnis nnthe nnmost nnimportant nnpreoperative nneval nnperformed nnby nnthe nnsurgical nnteam? nn- nnANSWER:
nn✔ nnH&P nn- nnno nndocumentation nnexists nnlinking nna nnreduction nnin nnmortality nnand nnmorbidity nnto nnroutine
nnlab nntesting nnin nnotherwise nnhealthy nnpatients nnundergoing nnelective nnprocedures
Detailed nnH&P nnprior nnto nnsurgery nnincluding nnspecial nnattention nnto... nn- nnANSWER: nn✔ nnHx nnof nnCVA, nnheart
nndz, nnpulm nndz, nnrenal nndz, nnliver nndz, nnGI nnd/o, nnDM, nnprior nnsurgeries, nnbleeding nnproblems, nnclotting
nnproblems, nndifficulty nnw/ nnanesthesia, nnnutrition, nnetoh, nnillicit nndrugs
What nnis nnan nnASA nnscore? nn- nnANSWER: nn✔ nnAmerican nnSociety nnof nnAnesthesiologists nn(ASA)
nnclassification nnsystem nnwhich nnstratifies nnthe nndegree nnof nnperioperative nnrisk nnfor nnpatients
Describe nnthe nnASA nnclassification nnsystem nn- nnANSWER: nn✔ nnASA nn1: nnNormal nnhealthy nnpatient
ASA nn2: nnPatient nnwith nnmild nnsystemic nndisease
ASA nn3: nnPatient nnwith nnsevere nnsystemic nndisease
ASA nn4: nnPatient nnwith nnsevere nnsystemic nndisease nnwith nna nnconstant nnthreat nnto nnlife
ASA nn5: nnMoribound nnpatient nnwho nnare nnnot nnexpected nnto nnsurvive nnwithout nnan nnoperation
ASA nn6: nnBrain nndead nnpatient
Mouth nnPE nnimportant nnto nnnote nn- nnANSWER: nn✔ nnTeeth nn- nnif nnloose nnworry nnabout nnintubation
Tongue nn- nnthink nnsleep nnapnea nnif nnlarge
Jaw nn- nnTMJ nncould nnbe nndifficult nnintubation
Mallampati nnscore
Airway nnconcerns nnwith nnsurgery nn- nnANSWER: nn✔ nnTracheal nndeviation nn- nncan nnbe nnissue nnfor nnmaintaining
nnairway nnduring nnsurgery
Neck nnconcerns nnwith nnsurgery nn- nnANSWER: nn✔ nnIf nn>17in nnthere nnis nnconcern nnfor nnsleep nnapnea, nnmasses,
nndeformities, nnROM
Mallampati nnscore nn- nnANSWER: nn✔ nnClassifies nnhow nnopen nnthe nnairway nnis nn
, 1 nn- nnCan nnsee nnthe nnuvula, nnno nnprob nnw/ nnintubation
IV- nnNo nnuvula, nnhard nnintubation
Routine nnpreop nnlabs/tests nnfor nnpatients nnwith nncardiac nndisease/vascular nndisease? nn- nnANSWER: nn✔ nnCBC
EKG
What nnare nnmajor nncardiac nnrisk nnfactors nnfor nnsurgery? nn- nnANSWER: nn✔ nnUnstable nncoronary nnsyndromes
Recent nnMI
Severe nnvalvular nndisease
Ventricular nnarrhythmias
What nnare nnminor nncardiac nnrisk nnfactors nnfor nnsurgery? nn- nnANSWER: nn✔ nnHx nnof nnCVA
Uncontrolled nnHTN
What nnis nnthe nnGoldman nnCriteria nnfor nnCardiac nnRisk? nn- nnANSWER: nn✔ nnAssesses nnrisk nnof nnperioperative
nnfatal nnand nnnonfatal nncardiac nnevents. nnAnother nnused nnis nnDetsky's
What nnare nnmoderate nncardiac nnrisk nnfactors nnfor nnsurgery? nn- nnANSWER: nn✔ nnAsymptomatic nnMI
DM
Compensated nnCHF
What nnis nnLee's nnrevised nncardiac nnrisk nnindex? nn- nnANSWER: nn✔ nnValidated nnway nnto nnpredict nnrisk nnin
nnpatients nnwho nnundergo nnelective nnnoncardiac nnprocedures. nnThere nnare nn6 nnpredictors nn(each nnget nnone
nnpoint):
History nnof nnischemic nnheart nndisease
CHF
Hx nnof nnCVA
High-risk nnoperation
Preoperative nntreatment nnwith nninsulin