Advanced Health Assessment Test #2
Questions and answers latest update
Define Prejudice
Opinion formed beforehand: a preformed opinion, usually an unfavorable one, based on insufficient
knowledge, irrational feelings, or inaccurate stereotypes
Components of a Patient Interview
(1) Medical/Surgical/Anesthetic Hx including familial anesthetic reactions (2) Drug/Medication Hx (3)
Drug Allergies (4) Latex Sensitivity (5) Social Hx - tobacco, alcohol, illicit drugs, synthetic androgens,
herbal supplements
What component of the patient interview increased patient compliance?
Showing respect
Considerations for patients taking ACE inhibitors, Beta-blockers & Calcium Channel Blockers
(1) Optimize hydration (2) Continue morning of surgery
Considerations for patients taking diuretics
(1) Monitor pre-op K+ levels (2) Monitor hydration (3) May need foley catheter (4) May discontinue
day of surgery except for CHF & CRF patients
When to stop drugs affecting hemostasis
(1) NSAIDS: stop 1-2 days prior (2) Aspirin 8-12 days prior (3) Plavix: 8-12 days prior
Considerations for patients taking hypoglycemic agents
(1) Monitor serum glucose (2) Either withhold or decrease dose on day of surgery
Drugs affecting CNS
(1) MAOIs (2) tricyclic antidepressants (3) SSRI (4) Lithium (5) Antiparkinsonian agents
What drug should be avoided in concurrent use with MAOIs?
Demerol
Consideration for patients on steroid therapy (including inhalers and nasal sprays)
(1) May have adrenal insufficiency (2) Continue steroids day of surgery (3) May need "stress dose" of
corticosteroids during surgery to prevent vascular collapse
A steroid dose greater than ____ daily would indicate that an intraoperative stress dose would be
needed
5 mg
All of the following statements regarding ASA classification are true except:
A.) Often results in misclassification, over classification, or improper classification
B.) Provides consistent communication about the physical status of the patient
C.) Represents an estimate of anesthesia risk
Questions and answers latest update
Define Prejudice
Opinion formed beforehand: a preformed opinion, usually an unfavorable one, based on insufficient
knowledge, irrational feelings, or inaccurate stereotypes
Components of a Patient Interview
(1) Medical/Surgical/Anesthetic Hx including familial anesthetic reactions (2) Drug/Medication Hx (3)
Drug Allergies (4) Latex Sensitivity (5) Social Hx - tobacco, alcohol, illicit drugs, synthetic androgens,
herbal supplements
What component of the patient interview increased patient compliance?
Showing respect
Considerations for patients taking ACE inhibitors, Beta-blockers & Calcium Channel Blockers
(1) Optimize hydration (2) Continue morning of surgery
Considerations for patients taking diuretics
(1) Monitor pre-op K+ levels (2) Monitor hydration (3) May need foley catheter (4) May discontinue
day of surgery except for CHF & CRF patients
When to stop drugs affecting hemostasis
(1) NSAIDS: stop 1-2 days prior (2) Aspirin 8-12 days prior (3) Plavix: 8-12 days prior
Considerations for patients taking hypoglycemic agents
(1) Monitor serum glucose (2) Either withhold or decrease dose on day of surgery
Drugs affecting CNS
(1) MAOIs (2) tricyclic antidepressants (3) SSRI (4) Lithium (5) Antiparkinsonian agents
What drug should be avoided in concurrent use with MAOIs?
Demerol
Consideration for patients on steroid therapy (including inhalers and nasal sprays)
(1) May have adrenal insufficiency (2) Continue steroids day of surgery (3) May need "stress dose" of
corticosteroids during surgery to prevent vascular collapse
A steroid dose greater than ____ daily would indicate that an intraoperative stress dose would be
needed
5 mg
All of the following statements regarding ASA classification are true except:
A.) Often results in misclassification, over classification, or improper classification
B.) Provides consistent communication about the physical status of the patient
C.) Represents an estimate of anesthesia risk
