DAANCE module 2
A pt who has a history of TIA's had a temporary lessening of - ✔✔Blood sipply to the brain
Ischemic heart disease is a result of - ✔✔decreased blood flow in the coronary arteries
Main purpose of the review of systems is to obtain evaluation of the pts. - ✔✔Medical history
A pt who has renal (kidney) disease would have difficulty with - ✔✔Drug excretion
Medical hx is not used to - ✔✔See socioeconomic status of the pt.
CHF (congestive heart failure) can result in all the following except:
Bronchospasm
Edema
Ascites
Putting dependent edema - ✔✔Bronchospasm
Which is FALSE about the ASA status classification of pts - ✔✔It allows the surgeon to anesthetize a class
V
Pts with diabetes are at risk for surgery because - ✔✔They're subject to post op infections
Pt who has had a Myocardial infarction should wait how many months before having elective surgery? -
✔✔2 months (6-8 weeks)
Pre-Op airway assessment - ✔✔-Does the pt have a short mandible
-Does the pt have a short thick or immobile neck
-Is the pt able to open their mouth over 35 mm
-Can you visualize the the uvula or any part of the oropharynx
, Mallampati classification - ✔✔1 -> visible soft palate, fauces, uvula, anterior and posterior pillars
2 -> visible soft palate, faucets and uvula
3 -> visible soft palate and base of the uvula
4 -> soft palate is not visible
NPO Time - ✔✔8 hours for fried, fatty foods or meat
6 hours for a light meal
2 hours for clear liquids
ischemia - ✔✔Buildup of fatty plaque within the coronary arteries causing atherosclerosis (hardening of
arteries)
myocardial infarction - ✔✔Loss of blood supply to heart die to occluded artery
Statins - ✔✔drugs used to lower cholesterol in the bloodstream and prevent buildup of plaque
Beta Blockers - ✔✔decrease heart rate and dilate arteries by blocking beta receptors
angioplasty - ✔✔Catheter with a balloon that is expanded to smash the plaque
coronary bypass surgery - ✔✔Artery from chest wall is grafted and replaces the occluded vein
rheumatic heart disease (RHD) - ✔✔valvular disease resulting from rheumatic fever called beta
hemolytic streptococci. Can result in heart murmur
mitral valve prolapse (MVP) - ✔✔improper closure of the mitral valve
systolic pressure - ✔✔the pressure in the arteries when the heart contracts
A pt who has a history of TIA's had a temporary lessening of - ✔✔Blood sipply to the brain
Ischemic heart disease is a result of - ✔✔decreased blood flow in the coronary arteries
Main purpose of the review of systems is to obtain evaluation of the pts. - ✔✔Medical history
A pt who has renal (kidney) disease would have difficulty with - ✔✔Drug excretion
Medical hx is not used to - ✔✔See socioeconomic status of the pt.
CHF (congestive heart failure) can result in all the following except:
Bronchospasm
Edema
Ascites
Putting dependent edema - ✔✔Bronchospasm
Which is FALSE about the ASA status classification of pts - ✔✔It allows the surgeon to anesthetize a class
V
Pts with diabetes are at risk for surgery because - ✔✔They're subject to post op infections
Pt who has had a Myocardial infarction should wait how many months before having elective surgery? -
✔✔2 months (6-8 weeks)
Pre-Op airway assessment - ✔✔-Does the pt have a short mandible
-Does the pt have a short thick or immobile neck
-Is the pt able to open their mouth over 35 mm
-Can you visualize the the uvula or any part of the oropharynx
, Mallampati classification - ✔✔1 -> visible soft palate, fauces, uvula, anterior and posterior pillars
2 -> visible soft palate, faucets and uvula
3 -> visible soft palate and base of the uvula
4 -> soft palate is not visible
NPO Time - ✔✔8 hours for fried, fatty foods or meat
6 hours for a light meal
2 hours for clear liquids
ischemia - ✔✔Buildup of fatty plaque within the coronary arteries causing atherosclerosis (hardening of
arteries)
myocardial infarction - ✔✔Loss of blood supply to heart die to occluded artery
Statins - ✔✔drugs used to lower cholesterol in the bloodstream and prevent buildup of plaque
Beta Blockers - ✔✔decrease heart rate and dilate arteries by blocking beta receptors
angioplasty - ✔✔Catheter with a balloon that is expanded to smash the plaque
coronary bypass surgery - ✔✔Artery from chest wall is grafted and replaces the occluded vein
rheumatic heart disease (RHD) - ✔✔valvular disease resulting from rheumatic fever called beta
hemolytic streptococci. Can result in heart murmur
mitral valve prolapse (MVP) - ✔✔improper closure of the mitral valve
systolic pressure - ✔✔the pressure in the arteries when the heart contracts
