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PreOp care
common preOp diagnostic teste
| Question | Answer |
|---|---|
| Renal status, hydration, urinary tract infection & disease | Urinalysis |
| Pulmonary disorders, cardiac enlargment | Chest X-ray |
| Anemia, immune status, infection | Bld Studies: RBC, Hb, Hct, WBC, WBC with differentials |
| Metabolic status, renal function, diuretic side effects | Electrolytes |
| Pulmonary and Metabolic function | ABGs, Oximetry |
| Bleeding tendencies | PT,PTT,INR,platelet count |
| Metabolic status, Diabeties Mellitus | Blood Glucose |
| Renal Function | Creatinine & Blood urea nitrogen |
| Nutritional Status | Serum Albumin |
| Cardiac Disease, electrolyte abnormalities | Electrocardiogram (EGC) |
| Pulmonary Status | Pulmonary function studies |
| Liver function | Liver function test |
| Blood availability for replacement | Type and Crossmatch |
| Pregnancy | hCG |
| Albumin Value | 3.5-5.0 H) Dehydration L) Chronic Liver Disease, Malnutrition, Nephrotic syndrome |
| pH Values ABGs | 7.35-7.45 H)Alkalosis L) Acidosis |
| PaCO2 Value ABGs | 35-45mm Hg H)Metabolic Alkalosis L)Metabolic Acidosis |
| BNP b-Type natriuretic peptide | <100 Heart Failure |
| Calcium (Ca) | Total 9-11 mg/dl ionized 4.5-5.5 mg/dl |
| Chloride (Cl) | 95-105 mEq/L H)Corticosteroid Therapy, Meta acidosis, RR alkalosis, Uremia L)Addison's, D&V, meta alkalosis, RR acidosis |
| Cholesterol HDL & LDL | 140-200mg/dl, HDL:Male>45mg/dl Fe >55mg/dl, LDL: <130mg/dl |
| CK-MB(CK2) | 0-9 U/L H) Acute myocardial infarction |
| Creatine Kinase (CK) | Male: 15-105 U/L Fe: 10-80 U/L myocardial infarction, brain damage, musculoskeletal injury |
| Magnesium (Mg) | 1.5-2.5 mEq/L H) Addisons, hypothyroidism, renal failure L)Chronic Alcoholism, hyperthyroidism/parathyroidism |
| Potassium (K) | 3.5-5.0mEq/L H)Addisons,diabetic ketosis,massive tissue destruction, renal failure L)Cushing Syndrome, D&V, diuretic therapy |
| Sodium (Na) | 135-145 mEq/L H)Dehydration, impaired renal func, primary aldosteronism L)Addisons, Diabetic ketoacidosis, excessive perspiration r diuretics |
| BUN Urea nitrogen | 10-30mg/dl H)increase n protein, catabolism(fever,stress), renal disease, UTI L)severe liver damanage, malnutrition |
| Bicarbonate (HCO) | 22-26 mEq/L |
Created by:
mromerobr
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