Preoperative Laboratory Testing — Flashcards

Flashcard 1: A patient with >3 month hx of MI, CVA, TIA or CAD would be classified under ASA _____

Answer: III

Flashcard 2: A patient not undergoing regular scheduled dialysis would be classified under ASA _____

Answer: IV

Flashcard 3: A patient undergoing regular scheduled dialysis would be classified under ASA _____

Answer: III

Flashcard 4: Drugs that are generally **continued** on the morning of surgery include _____.

Answer: Beta-blockers, Statins, Anti-epileptics, and Thyroid medications

Extra: Guidelines generally recommend continuing medications for chronic conditions where withdrawal could lead to rebound effects (e.g., beta-blockers, clonidine) or where the condition must be controlled (e.g., epilepsy, hypothyroidism).

Flashcard 5: ASA Preoperative Fasting Guidelines: - Clear liquids: _____ hours - Breast milk: 4 hours - Infant formula/Light meal: 6 hours - Heavy meal (fatty food/meat): 8 hours

Answer: 2

Extra: ASA Preoperative Fasting (NPO) Guidelines (the 2-4-6-8 rule): • 2 hours: Clear liquids (water, fruit juice without pulp, carbonated drinks, clear tea, black coffee) • 4 hours: Breast milk • 6 hours: Infant formula, non-human milk, light meal (toast/clear liquids) • 8 hours: Heavy meal (fried/fatty foods, meat)

Flashcard 6: Beta-blockers such as _____ 40mg TDS and Nadolol 160 mg daily can be used for pre-op preparation of patients before thyroidectomy

Answer: Propranolol

Flashcard 7: A declared brain-dead patient whose organs are being removed for donor purposes would be classified under ASA _____

Answer: VI

Flashcard 8: A patient who is not expected to survive without the operation would be classified under ASA _____

Answer: V

Flashcard 9: A patient with obesity (BMI 30–39.9 kg/m²) is classified as ASA _____

Answer: II

Flashcard 10: A patient with implanted pacemaker and moderate reduction of EF would be classified under ASA _____

Answer: III