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🏠2. Medical History and Medical Risk Assessment

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Question Bank

1
Purpose of doing patient evaluation and risk assessment
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To ensure patient safety and comprehensive treatment

2
Techniques for obtaining Medical History
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A. Medical Model – Interview of patient B. Questionnaire We want both

3
Medical Consult or Medical Clearance from physician?
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MED CONSULT • don't want to just "clear" a patient • provide background information • Be specific with your request

4
ASA I
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healthy patient

5
ASA II
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A patient with systemic disease that is mild - no functional limitations - a well-controlled disease - social drinking or smoking

6
ASA III
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systemic disease that is severe but not life-threatening

7
ASA IV
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severe systemic disease that is a constant threat to life

8
ASA V
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comatose patient who is "not expected to survive without the operation"

9
ASA VI
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brain-dead patient whose organs are being procured for transplantation into another patient

10
What are the conditions that require antibiotic prophylaxis?
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• Prosthetic (mechanical) heart valves • unrepaired congenital heart defect • previous history of infective endocarditis • organ transplantation