Preoperative Testing Some of the patients some of the time

Preoperative Testing

As a general rule there are no routine requirements. 

 Test requirements are guided by findings on the History + Physical Exam.

 
INDICATIONS CBC PT/INR SERUM GLUCOSE CMP CHEST    X-RAY 12 LEAD EKG
             
History of bleeding disorder/hemhorrage X X        
             
History of anemia in past 6 months X          
             
History of cirrhosis or chronic hepatitis   X   X    
             
Anticoagulants therapy   X        
             
History of diabetes     X X   X
             
Patient in renal failure       X   X
             
Patient on diuretics       X    
             
History of recent pneumonia         X  
             
__Dyspnea on exertion                                            __Orthopnea                                               __Nocturnal dyspnea                                            __Pitting edema         X                        X                          X                  X  
             
History of known heart disease           X
             
History of recent chest pain           X
             
History of recent rhythm abnormality           X
             
Over 40 years old w/Hx of morbid obesity           X
             
History of heavy smoking           X
             
History of hypertension           X
             
History of thyroid disorder           X
             
History of hypercholesterolemia           X
             
Family Hx of early coronary artery disease           X

Compiled by Jeffrey P. Johnson, DC,FNP-BC 2009; copyright Chronic Pain USA

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