4. Neurologic System. The patient’s ability to answer health history questions practically ensures a normal mental status (exclude the presence of increased intracranial pressure, cerebrovascular disease, seizure history, pre-existing neuromuscular…
TABLE 37-1 PATIENT MEDICAL HISTORY THAT SHOULD BE OBTAINED BEFORE THORACIC SURGERY Dyspnea: quantitate as to activity required to produce; presence may warn of the need for postoperative ventilation) Cough…
TABLE 32-1 PATIENT FACTORS REQUIRING SEDATION OR ANESTHESIA FOR NONOPERATING ROOM PROCEDURES Claustrophobia, anxiety, and panic disorders Cerebral palsy, developmental delay, and learning difficulties Seizure disorders, movement disorders, and muscular…
FIGURE 39-2. Typical overlap in vascular disease affecting different organ systems. PAD = peripheral arterial disease. 2. In the first 6 weeks after coronary stent placement, noncardiac surgery carries considerable…
F. Goals of the Two-Dimensional Examination. A comprehensive evaluation is preferred with each cardiac chamber and valve imaged in at least two orthogonal planes. However, in an emergency situation, such…
II. OCULAR PHYSIOLOGY A. Formation and Drainage of Aqueous Humor 1. Aqueous humor is formed in the posterior chamber by the ciliary body in an active secretory process involving carbonic…
TABLE 10-1 AREAS AT RISK FOR MYOCARDIAL ISCHEMIA BASED ON CORONARY ARTERY DISTRIBUTION Left Anterior Descending Coronary Artery Medial left ventricular anterior wall Anterior two-thirds of the interventricular septum Left…
5. Wearing rings does not increase overall bacterial levels measured on the hands of health care workers. Therefore, it remains unclear whether transmission of infection could be reduced by prohibiting…
5. Hospital admission by itself is not necessarily bad if it results in a better quality of care or uncovers the need for more extensive surgery. E. Obese patients are…
Vcen = central volume of distribution or initial volume of distribution; a smaller Vcen increases initial plasma levels and enhances transfer of drug in the target organ (brain, muscle). TABLE…
