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Search: BIASI: Specialization: Anesthesia Academic Level: Level One
Search: BIASI: Specialization: Anesthesia Academic Level: Level One
Search : BIASI
Preparing students /
Kholood AL- Naqeeb
Sadiq Saadan
Ashjan Khaled
Omar Alsamei The supervision /
Aisha Mohammed Hussein AL - Hakimi
Tamim Fadl
Wasim
BASSIC
PATIENT ASSESSMENT
INTRODUCTION :
The per operative assessment
should establish the state of health
of patient Per operative evaluation
of that include the requirement
that anesthesiologist shall be
responsible for:
Follow The Introduction :
81 Hypertension
% Ischemic
54 Heart Disease
%
42 Asthma
%
23 Gastric Reflux
%
06
Allergies Which Have Special Relevance To Anesthesia.
12
%
peril operative
morbidity
Goal of the per operative assessments :
01 02 03 04 05 06 07 08 09 10
Allergic Sleep Prolonged Delayed Nausea Hoarseness Myalgia Hemorrhage Jaundice Post - Dural
reaction apnea skeletal awakening and puncture
muscle vomiting headache
paralysis
Kidney :
•
•
Dialysis dependency History :
Chronic renal filer
● Bradycardia .
● Alcohol
● Bronchospasm.
● Impaired sympathetic.
● Nervous system responses.
● Myocardial depression.
● Diuretics ● Hypokalemia
● Hypovolemia
● Exaggerated responses to
● Monoamine oxidize sympathonimetic drugs if previous
inhibitors treatment was acute
● Exaggerated responses
● Tricycle antidepressants sympathomimetic drugs if pervious
treatment was acute
Per The peroperative physical examination
•
physical Airway
1. Identify all medications both prescribed and over the counter OTC .including
complementary and alternative medicines and hormone replacement therapy HRT.
2. Unless specifically asked on the whole the number of medication patients take rises
with age .many commonly prescribed drugs such as angiotensin converting enzyme
inhibitors –can have important effects during anesthesia –allergies to the drugs latex
.topical preparation e.g iodine and food stuffs should be noted .
Smoking –
Social history :
Alcohol : Drugs :
this is measured as units consumed Ask specifically about the use of drug for recreational
per week50 unit. Causes induction purposes .including type .frequency and route of
of liver enzymes and tolerance to administration.
anesthetic drugs . The risk of
alcohol withdrawal syndrome
This group of patients is as risk of infection with hepatitis
postoperatively must be
considered . B and human immunodeficiency virus HIV venous access
following I.V drug abuse due to widespread thrombosis
of vines withdrawal syndromes can occur postoperatively.
Pregnancy :
The date of the last The anesthetist may be the only person in theater able to
menstrual period should be give this information if x-rays are required . anesthesia
noted in all woman of child
increases the risk of inducing a spontaneous abortion in
bearing age
early pregnancy .
OBTAINING INFORMED CONSENT
● What is consent ?
● Consent is an agreement by the patient to undergo a specific procedure.
● Event through the doctor will advise on what is required . it is only the patient who can make
the decision to undergo the procedure although the need for consent is often through of as
applying to surgery.
● It is fact required for any breach of a patient‘s personal integrity including :
examination – performing investigation and giving an anesthetic touching .
● A patient without consent may lead to a claim of buttery .
● For a patient to have the capacity to give consent there are prerequisites the should :
● Understanding what is being proposed its purpose and wee it is being proposed.
● Understand the benefits risks and any alternative .
● Understand the consequences of not receiving what is being proposed .
THANK YOU
Design / Kholood Al - Naqeeb