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Patient Preparation
WK 16
| Question | Answer |
|---|---|
| Assessment - | history taking communication with client physical exam ASA score hydration status |
| ASA‑style physical status classes | Class I Minimal: healthy, no disease. Class II Slight: mild systemic, compensating. Class III Moderate: mild signs, anaemia, renal/heart. Class IV High: severe disease, dehydration, shock. Class V Grave: moribund, life‑threatening, <24 h survival |
| reducing anxiety | pet remedy gapapentin felway |
| withholding food | roughly 12 hrs prevents regurgitation reduces thoracic pressure remember special cases |
| IVFT Inhalational agents – dose dependent hypotension Watch your fluid rates! | Inhalational agents such as isoflurane and sevoflurane also produce dose dependent hypotension, this is caused due to peripheral vasodilation. Out of all the inhalational agents available, Sevoflurane shows the least cardiovascular effects. |
| pre warming | blankets heatpads |
| Preoxygenation | Do you pre-oxygenate patients in practice? pugs, frenchies ect |
| Urinary catheterisation | May be of benefit if you need to monitor urine output Minimises risk of soiling Patient comfort |
| clipping and | skin prep |
| correct positioning on | theatre table |