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…
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,…
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,…
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,…
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…
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…
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,…
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…
Venous Thromboembolic Disease
Time of VTE prior to surgery Risk of recurrent VTE after stopping anticoagulation Management Pre-op Post-op Within 1 month Approaches 50 % if stopped prior to 1 month Avoid surgery…
Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome
S = Snoring. Do you snore loudly (louder than talking or loud enough to be heard through closed doors)? T = Tired. Do you often feel tired, fatigued, or sleepy during daytime? O = Observed (apnea)….
