Patients with a Solid Organ Transplant

Oct 6, 2016 by in RESPIRATORY Comments Off on Patients with a Solid Organ Transplant

Information Example Transplanted organ, indication, and date of transplant Liver transplant for hepatitis C cirrhosis 3 years ago Status of transplanted organ: Current function Transaminases, liver synthetic function (bilirubin, INR,…

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Nutrition

Oct 6, 2016 by in RESPIRATORY Comments Off on Nutrition

Is BMI < 20.5? Yes No Has the patient lost weight within the last 3 months?   Has the patient had a reduced dietary intake in the last week?   Is the patient severely…

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Perioperative Care of Elderly Patients

Oct 6, 2016 by in RESPIRATORY Comments Off on Perioperative Care of Elderly Patients

Equipment needed: Timer and chair Directions: Patients wear their regular footwear and can use a walking aid if needed Begin by having the patient sit back in a standard armchair…

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Decision-Making Capacity

Oct 6, 2016 by in RESPIRATORY Comments Off on Decision-Making Capacity

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_39 39. Decision-Making Capacity Kara J. Mitchell1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle,…

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Gout and Pseudogout

Oct 6, 2016 by in RESPIRATORY Comments Off on Gout and Pseudogout

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_37 37. Gout and Pseudogout Elizabeth Kaplan1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…

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Systemic Lupus Erythematosus

Oct 6, 2016 by in RESPIRATORY Comments Off on Systemic Lupus Erythematosus

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_36 36. Systemic Lupus Erythematosus Elizabeth Kaplan1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…

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Rheumatoid Arthritis

Oct 6, 2016 by in RESPIRATORY Comments Off on Rheumatoid Arthritis

Methotrexate ▪Usually given once weekly ▪A prospective randomized trial of patients with RA undergoing elective orthopedic surgery showed fewer complications, infections, and flares in the group that continued methotrexate rather…

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Acute Kidney Injury

Oct 6, 2016 by in RESPIRATORY Comments Off on Acute Kidney Injury

Prerenal Intrinsic renal Postrenal ▪Hypotension after anesthesia induction ▪Insufficient intraoperative hydration ▪High nasogastric (NG) tube output ▪Increased vascular permeability (“third spacing”) ▪Surgical site bleeding/drain output ▪Abdominal compartment syndrome ▪Gastrointestinal bleeding…

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Chronic Kidney Disease

Oct 6, 2016 by in RESPIRATORY Comments Off on Chronic Kidney Disease

© Springer International Publishing Switzerland 2015Molly Blackley Jackson, Somnath Mookherjee and Nason P. Hamlin (eds.)The Perioperative Medicine Consult Handbook10.1007/978-3-319-09366-6_33 33. Chronic Kidney Disease Sabeena Setia1   (1) Division of General Internal Medicine, Department of Medicine, University of Washington,…

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Restrictive Lung Disease

Oct 6, 2016 by in RESPIRATORY Comments Off on Restrictive Lung Disease

Pulmonary causes  Atelectasis  Pulmonary edema  Acute respiratory distress syndrome  Interstitial lung diseases  Connective tissue diseases  Vasculitis, granulomatous diseases, hypersensitivity pneumonias  Drug-related pulmonary fibrosis  Radiation therapy  Lung resection Extrapulmonary causes  Obesity…

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