Pulmonary Evaluation — Flashcards

Flashcard 1: A patient with poorly controlled DM/HTN would be classified under ASA _____

Answer: III

Flashcard 2: A patient with well controlled DM/HTN would be classified under ASA _____

Answer: II

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

Answer: III

Flashcard 4: The main goal of premedication is to diminish _____

Answer: anxiety

Flashcard 5: Recommended preoperative fasting periods for all above 1 year of age are _____ hours for clear fluids, _____ hours for a light meal, and _____ hours for fried, fatty food.

Answer: 2; 6; 8

Flashcard 6: A patient with obesity (BMI: >40) would be classified under ASA _____

Answer: III

Flashcard 7: 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 8: 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 9: 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 10: A declared brain-dead patient whose organs are being removed for donor purposes would be classified under ASA _____

Answer: VI