Imagine you have a patient who has a ASA Class 3 classification: Type 1 Diabetes and...

Imagine you have a patient who has a ASA Class 3 classification: Type 1 Diabetes and Mild Angina. Identify which pre-surgical clearance tests you will order and explain why. Using Table 21-4, determine whether your patient may proceed to surgery. Remember, this is a hypothetical situation. You determine whether this is emergent or not—in other words, you choose your ending, but you need to be able to defend your selection in 250 words or less.

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ASA stands for American Society of Anesthesiologists.It is a he assessment of patients fitness before surgery.It is also used in policy making, performance evaluation tool for audit, resource allocation, reimbursement of anaesthetic services

It is classified according to the pre existing medical conditions here the patient has Type 1 DM which is insulin dependent.ADA class 3 classification goes with severe systemic diseases and needs surgery as a corrective measurements.Tge surgical intervention like stenting can be done on elective basis.

The following are the most basic pre surgical clearance test like

FBC or CBC general to rule out Hemoglobin level to be cautious when blood loss and decreased oxygenation may occur during peri operative stage.
RFT: it helps to know the clearance level and kidney function
LFT: to know how medication reacts to body conditions
Calcium it helps to identify any cancerous diseases and aide in contraction
Clotting factors to know the bleeding and clotting levelBld group and cross matching
Random blood sugar as patient is diabetic
FBS ,PPBS are ideally helpful in general wound healing
ECG the most basic test to know the cardiac rhythm
Chest X Ray to know about any previous lung diseases and may be needed if intubation is done

It is an emergency situation where patient has to be provided immediate intervention to save his life from the life threatening situations.

Nightingale answered 1 year ago

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