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7 Cards in this Set
- Front
- Back
Examples when preop tests should be ordered (4)
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preg test (women of reproductive age); cervical XR (RA); crea (risk for CKD), K (diuretic use)
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most widely used preoperative cardiac risk stratification scheme
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revised cardiac risk index (RCRI)
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three groups of patients in whom the risk of perioperative cardiac complications is low enough that preoperative cardiac evaluation is rarely, if ever, warranted (ACC/AHA)
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undergoing low-risk surgery, at least moderate exercise capacity (>4 METS), low exercise capacity but no RCRI risk factors.
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when should preoperative noninvasive cardiac testing be considered?
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poor or unknown exercise tolerance based on presence and number of RCRI risk factors and nature of the surgery, provided that results will impact management
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when is B-blocker recommended perioperatively (ACC/AHA)?
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patients with CAD undergoing vascular surgery; intermed or high risk surgeries, including vascular surgeries in patients with >1 RCRI risk factor
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when to start B blocker perioperatively if indicated?
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few weeks before surgery, start low and titrate to control HR and BP without hypotensio nor bradycardia
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when is preoperative spirometry indicated?
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unexplained dyspnea
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