100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Surgery EOR: Preoperative/Postoperative Care Exam 2024/2025 Questions With Completed & Verified Solutions. $12.99
Add to cart
Quickly navigate to
Preview
  2.  
  3. PAEA GENERAL SURGERY
  4.  
  5. PAEA GENERAL SURGERY

Exam (elaborations)

Surgery EOR: Preoperative/Postoperative Care Exam 2024/2025 Questions With Completed & Verified Solutions.
 0 purchase
  • Course
  • PAEA GENERAL SURGERY
  • Institution
  • PAEA GENERAL SURGERY

Surgery EOR: Preoperative/Postoperative Care Exam 2024/2025 Questions With Completed & Verified Solutions.

Preview 3 out of 20  pages

Document information

  • May 25, 2024
  • 20
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • when can a patient eat prior to a major surgery
  • what electrolyte must you check preoperatively if
  • describe the asa classification system ans asa 1

Written for

  • PAEA GENERAL SURGERY
  • PAEA GENERAL SURGERY

Seller

avatar-seller
phyliswambui996

Reviews received

Content preview

Surgery EOR: Preoperative/Postoperative
Care

When can a patient eat prior to a major surgery? - ANS NPO after midnight or at least 8 hours

What risks should be discussed with all patients and documented on the consent form for a
surgical procedure? - ANS Risk: Bleeding, infection, anesthesia, scars

If a patient is on anti-HTN meds should the patient take them on the day of the procedure? -
ANS Yes

Should a patient who smokes cigarettes stop before an operation? - ANS Yes - improvement is
seen in just 2-4 weeks of smoking cessation

What lab test must all women of childbearing age have before entering the OR? - ANS B-Hcg
and CBC

What is a preop colon surgery "bowel prep"? - ANS Bowel prep with a colon cathartic
(GoLYTELY), oral abx (neomycin, erythromycin), IV antibiotic before incidsion

What must you always order preoperatively for you patient undergoing a major surgery? - ANS
1. NPO/IVF
2. Preop abx
3. Type and cross blood (PRBCs)

What electrolyte must you check preoperatively if a patient is on hemodialysis? - ANS
Potassium

Who gets a preop EKG? - ANS Patients over 40 or undergoing cardiac procedure

What is the most important preoperative eval performed by the surgical team? - ANS H&P - no
documentation exists linking a reduction in mortality and morbidity to routine lab testing in
otherwise healthy patients undergoing elective procedures

Detailed H&P prior to surgery including special attention to... - ANS Hx of CVA, heart dz, pulm
dz, renal dz, liver dz, GI d/o, DM, prior surgeries, bleeding problems, clotting problems, difficulty
w/ anesthesia, nutrition, etoh, illicit drugs

What is an ASA score? - ANS American Society of Anesthesiologists (ASA) classification
system which stratifies the degree of perioperative risk for patients

,Describe the ASA classification system - ANS ASA 1: Normal healthy patient
ASA 2: Patient with mild systemic disease
ASA 3: Patient with severe systemic disease
ASA 4: Patient with severe systemic disease with a constant threat to life
ASA 5: Moribound patient who are not expected to survive without an operation
ASA 6: Brain dead patient

Mouth PE important to note - ANS Teeth - if loose worry about intubation
Tongue - think sleep apnea if large
Jaw - TMJ could be difficult intubation
Mallampati score

Airway concerns with surgery - ANS Tracheal deviation - can be issue for maintaining airway
during surgery

Neck concerns with surgery - ANS If >17in there is concern for sleep apnea, masses,
deformities, ROM

Mallampati score - ANS Classifies how open the airway is
1 - Can see the uvula, no prob w/ intubation
IV- No uvula, hard intubation

Routine preop labs/tests for patients with cardiac disease/vascular disease? - ANS CBC
EKG

What are major cardiac risk factors for surgery? - ANS Unstable coronary syndromes
Recent MI
Severe valvular disease
Ventricular arrhythmias

What are minor cardiac risk factors for surgery? - ANS Hx of CVA
Uncontrolled HTN

What is the Goldman Criteria for Cardiac Risk? - ANS Assesses risk of perioperative fatal and
nonfatal cardiac events. Another used is Detsky's

What are moderate cardiac risk factors for surgery? - ANS Asymptomatic MI
DM
Compensated CHF

What is Lee's revised cardiac risk index? - ANS Validated way to predict risk in patients who
undergo elective noncardiac procedures. There are 6 predictors (each get one point):
History of ischemic heart disease
CHF

, Hx of CVA
High-risk operation
Preoperative treatment with insulin
Preoperative SCr >2.0 mg/dL

Goldman criteria points - ANS 0-5 = Class I
6-12 = Class 2
13-25 = Class 3
>25 = Class 4

Preop lab assessment for cardiac disease? - ANS Resting LV function
Ambulatory EKG monitoring
Exercise stress test or nuclear stress test
Stress echo

Patients with an EF <___% are at greatest risk for complications during surgery - ANS <35%

What are indications for preop coronary angiography? - ANS Patients with suspected left main
disease, triple vessel coronary occlusive disease, or unstable coronary syndromes (high risk
patients)

What is appropriate medical therapy for CAD prior to surgery? - ANS BB, CCBs, nitrates to
ensure myocardial oxygen demand does not exceed supply

What do patients with a history of rheumatic heart disease require prior to surgery? - ANS
Prophylactic antibiotics to prevent endocarditis

What should you do if you find your patient to have carotid artery disease? - ANS
Endorterectomy prior to surgery - wait 6 months before operation if possible

What are the 2 big things to worry about in surgery w/ a cardiac patient - ANS 1. Catecholamine
surge which causes an increase in myocardial o2 demand
2. Suppression in the fibrinolytic system which leads to thrombosis

What kind of murmurs are usually benign? - ANS Short, soft, systolic murmurs that are
asymptomatic often don't require further investigation

What are risk factors for postop pulmonary complications (PPC)? - ANS Advanced age
Elevated ASA class
CHF
Functional dependence
COPD
Sleep apnea
Smoking status

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller phyliswambui996. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

68175 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling
$12.99
  • (0)
Add to cart
Added