NMS. Casos Clínicos

5

Chapter 1 ♦ Preoperative Care

Serum Creatinine and Electrolytes Blood Glucose ECG Chest X-ray Coagulation Studies • Kidney disease, Hypertension • Diabetes • Poor nutritional states • Stroke • Medication • Digoxin • Diabetes • Family h/o diabetes • Obesity • Stroke • Poor nutritional states • Cardiac disease • Hypertension • Chronic lung disease • Diabetes • Thyroid disease • Chronic lung disease • Heavy smoking • Radiation therapy • Aortic aneurysm • Liver disease • Renal dysfunction • Family history of bleeding disorder • Anticoagulant drugs • Morbid obesity

• Cardiomegaly

• Digoxin therapy • Males older than 45 years

• Females older than 55 years

• Steroid use • Cushing, Addison

• Diuretics SAMPLE • Steroids • Chemotherapy

• Males older than 70 years

• Females older than 45 years

• Chronic renal, liver, lung disease • Anemia • Malignancy

• Poor nutritional states

Table 1-4: Preoperative Diagnosis-Based Investigations before Elective Surgery Complete Blood Count • Major surgery • Neonates • Vascular aneurysms ECG, electrocardiogram.