Surgery EOR Preoperative ,Postoperative
Care questions with answers 2024
When gcan ga gpatient geat gprior gto ga gmajor gsurgery? g- gANS-NPO gafter gmidnight gor
gat gleast g8 ghours
What grisks gshould gbe gdiscussed gwith gall gpatients gand gdocumented gon gthe
gconsent gform gfor ga gsurgical gprocedure? g- gANS-Risk: gBleeding, ginfection,
ganesthesia, gscars
If ga gpatient gis gon ganti-HTN gmeds gshould gthe gpatient gtake gthem gon gthe gday gof
gthe gprocedure? g- gANS-Yes
Should ga gpatient gwho gsmokes gcigarettes gstop gbefore gan goperation? g- gANS-Yes g-
gimprovement gis gseen gin gjust g2-4 gweeks gof gsmoking gcessation
What glab gtest gmust gall gwomen gof gchildbearing gage ghave gbefore gentering gthe gOR?
g- gANS-B-Hcg gand gCBC
What gis ga gpreop gcolon gsurgery g"bowel gprep"? g- gANS-Bowel gprep gwith ga gcolon
gcathartic g(GoLYTELY), goral gabx g(neomycin, gerythromycin), gIV gantibiotic gbefore
gincidsion
,What gmust gyou galways gorder gpreoperatively gfor gyou gpatient gundergoing ga gmajor
gsurgery? g- gANS-1. gNPO/IVF
2. gPreop gabx
3. gType gand gcross gblood g(PRBCs)
What gelectrolyte gmust gyou gcheck gpreoperatively gif ga gpatient gis gon ghemodialysis? g-
gANS-Potassium
Who ggets ga gpreop gEKG? g- gANS-Patients gover g40 gor gundergoing gcardiac
gprocedure
What gis gthe gmost gimportant gpreoperative geval gperformed gby gthe gsurgical gteam? g-
gANS-H&P g- gno gdocumentation gexists glinking ga greduction gin gmortality gand
gmorbidity gto groutine glab gtesting gin gotherwise ghealthy gpatients gundergoing gelective
gprocedures
Detailed gH&P gprior gto gsurgery gincluding gspecial gattention gto... g- gANS-Hx gof gCVA,
gheart gdz, gpulm gdz, grenal gdz, gliver gdz, gGI gd/o, gDM, gprior gsurgeries, gbleeding
gproblems, gclotting gproblems, gdifficulty gw/ ganesthesia, gnutrition, getoh, gillicit gdrugs
What gis gan gASA gscore? g- gANS-American gSociety gof gAnesthesiologists g(ASA)
gclassification gsystem gwhich gstratifies gthe gdegree gof gperioperative grisk gfor gpatients
,Describe gthe gASA gclassification gsystem g- gANS-ASA g1: gNormal ghealthy gpatient
ASA g2: gPatient gwith gmild gsystemic gdisease
ASA g3: gPatient gwith gsevere gsystemic gdisease
ASA g4: gPatient gwith gsevere gsystemic gdisease gwith ga gconstant gthreat gto glife
ASA g5: gMoribound gpatient gwho gare gnot gexpected gto gsurvive gwithout gan goperation
ASA g6: gBrain gdead gpatient
Mouth gPE gimportant gto gnote g- gANS-Teeth g- gif gloose gworry gabout gintubation
Tongue g- gthink gsleep gapnea gif glarge
Jaw g- gTMJ gcould gbe gdifficult gintubation
Mallampati gscore
Airway gconcerns gwith gsurgery g- gANS-Tracheal gdeviation g- gcan gbe gissue gfor
gmaintaining gairway gduring gsurgery
Neck gconcerns gwith gsurgery g- gANS-If g>17in gthere gis gconcern gfor gsleep gapnea,
gmasses, gdeformities, gROM
Mallampati gscore g- gANS-Classifies ghow gopen gthe gairway gis g
1 g- gCan gsee gthe guvula, gno gprob gw/ gintubation
IV- gNo guvula, ghard gintubation
, Routine gpreop glabs/tests gfor gpatients gwith gcardiac gdisease/vascular gdisease? g-
gANS-CBC
EKG
What gare gmajor gcardiac grisk gfactors gfor gsurgery? g- gANS-Unstable gcoronary
gsyndromes
Recent gMI
Severe gvalvular gdisease
Ventricular garrhythmias
What gare gminor gcardiac grisk gfactors gfor gsurgery? g- gANS-Hx gof gCVA
Uncontrolled gHTN
What gis gthe gGoldman gCriteria gfor gCardiac gRisk? g- gANS-Assesses grisk gof
gperioperative gfatal gand gnonfatal gcardiac gevents. gAnother gused gis gDetsky's
What gare gmoderate gcardiac grisk gfactors gfor gsurgery? g- gANS-Asymptomatic gMI
DM
Compensated gCHF
What gis gLee's grevised gcardiac grisk gindex? g- gANS-Validated gway gto gpredict grisk gin
gpatients gwho gundergo gelective gnoncardiac gprocedures. gThere gare g6 gpredictors
g(each gget gone gpoint):
Care questions with answers 2024
When gcan ga gpatient geat gprior gto ga gmajor gsurgery? g- gANS-NPO gafter gmidnight gor
gat gleast g8 ghours
What grisks gshould gbe gdiscussed gwith gall gpatients gand gdocumented gon gthe
gconsent gform gfor ga gsurgical gprocedure? g- gANS-Risk: gBleeding, ginfection,
ganesthesia, gscars
If ga gpatient gis gon ganti-HTN gmeds gshould gthe gpatient gtake gthem gon gthe gday gof
gthe gprocedure? g- gANS-Yes
Should ga gpatient gwho gsmokes gcigarettes gstop gbefore gan goperation? g- gANS-Yes g-
gimprovement gis gseen gin gjust g2-4 gweeks gof gsmoking gcessation
What glab gtest gmust gall gwomen gof gchildbearing gage ghave gbefore gentering gthe gOR?
g- gANS-B-Hcg gand gCBC
What gis ga gpreop gcolon gsurgery g"bowel gprep"? g- gANS-Bowel gprep gwith ga gcolon
gcathartic g(GoLYTELY), goral gabx g(neomycin, gerythromycin), gIV gantibiotic gbefore
gincidsion
,What gmust gyou galways gorder gpreoperatively gfor gyou gpatient gundergoing ga gmajor
gsurgery? g- gANS-1. gNPO/IVF
2. gPreop gabx
3. gType gand gcross gblood g(PRBCs)
What gelectrolyte gmust gyou gcheck gpreoperatively gif ga gpatient gis gon ghemodialysis? g-
gANS-Potassium
Who ggets ga gpreop gEKG? g- gANS-Patients gover g40 gor gundergoing gcardiac
gprocedure
What gis gthe gmost gimportant gpreoperative geval gperformed gby gthe gsurgical gteam? g-
gANS-H&P g- gno gdocumentation gexists glinking ga greduction gin gmortality gand
gmorbidity gto groutine glab gtesting gin gotherwise ghealthy gpatients gundergoing gelective
gprocedures
Detailed gH&P gprior gto gsurgery gincluding gspecial gattention gto... g- gANS-Hx gof gCVA,
gheart gdz, gpulm gdz, grenal gdz, gliver gdz, gGI gd/o, gDM, gprior gsurgeries, gbleeding
gproblems, gclotting gproblems, gdifficulty gw/ ganesthesia, gnutrition, getoh, gillicit gdrugs
What gis gan gASA gscore? g- gANS-American gSociety gof gAnesthesiologists g(ASA)
gclassification gsystem gwhich gstratifies gthe gdegree gof gperioperative grisk gfor gpatients
,Describe gthe gASA gclassification gsystem g- gANS-ASA g1: gNormal ghealthy gpatient
ASA g2: gPatient gwith gmild gsystemic gdisease
ASA g3: gPatient gwith gsevere gsystemic gdisease
ASA g4: gPatient gwith gsevere gsystemic gdisease gwith ga gconstant gthreat gto glife
ASA g5: gMoribound gpatient gwho gare gnot gexpected gto gsurvive gwithout gan goperation
ASA g6: gBrain gdead gpatient
Mouth gPE gimportant gto gnote g- gANS-Teeth g- gif gloose gworry gabout gintubation
Tongue g- gthink gsleep gapnea gif glarge
Jaw g- gTMJ gcould gbe gdifficult gintubation
Mallampati gscore
Airway gconcerns gwith gsurgery g- gANS-Tracheal gdeviation g- gcan gbe gissue gfor
gmaintaining gairway gduring gsurgery
Neck gconcerns gwith gsurgery g- gANS-If g>17in gthere gis gconcern gfor gsleep gapnea,
gmasses, gdeformities, gROM
Mallampati gscore g- gANS-Classifies ghow gopen gthe gairway gis g
1 g- gCan gsee gthe guvula, gno gprob gw/ gintubation
IV- gNo guvula, ghard gintubation
, Routine gpreop glabs/tests gfor gpatients gwith gcardiac gdisease/vascular gdisease? g-
gANS-CBC
EKG
What gare gmajor gcardiac grisk gfactors gfor gsurgery? g- gANS-Unstable gcoronary
gsyndromes
Recent gMI
Severe gvalvular gdisease
Ventricular garrhythmias
What gare gminor gcardiac grisk gfactors gfor gsurgery? g- gANS-Hx gof gCVA
Uncontrolled gHTN
What gis gthe gGoldman gCriteria gfor gCardiac gRisk? g- gANS-Assesses grisk gof
gperioperative gfatal gand gnonfatal gcardiac gevents. gAnother gused gis gDetsky's
What gare gmoderate gcardiac grisk gfactors gfor gsurgery? g- gANS-Asymptomatic gMI
DM
Compensated gCHF
What gis gLee's grevised gcardiac grisk gindex? g- gANS-Validated gway gto gpredict grisk gin
gpatients gwho gundergo gelective gnoncardiac gprocedures. gThere gare g6 gpredictors
g(each gget gone gpoint):
