Schedule

 Preoperative assems
Cardiac risk: ejection fraction< 35%(N=55%
Jugular vein distension CHF) treatment Calcium blockers, beta blockers, digitalis
Recent MI
premature ventricular contraction
Age .>70 years
Emergency operation
Aortic valvular stenosis
Abdomen/chest surgery
Pulmonary risk smoking-compromised ventilation,high PCO2,decreased FEV/1minute
Hepatic risks :bilirubin, serum albumin, PTT, encelphalopathy
Nutritional risk
Metabolic risk
Introduction/Course Description

 Surgical complication
 Malignant hyperthermia
 Fever after halothnae treat with iv dantrolene ,100% O2
 Bacteremia post operative fevr
 Atelectasis
 Pneumonia
 UTI (po3rd
 DVT PO >5
 Wound infection >7 days
 Deepabsecc
 Chest Pain, MI test for Troponin
 PE po&7 days
 Disorientation ards,h ypoxia,d elirium,hypo/h ypernatremia
 Urinay
 Retention
 Low output
 Zero output
Objectives and Results
 abd,.distention-paralytic ileus, mech.obstruction,ogilives syndrome
 Wound-dehiscence,evisceration,nfection,fistula