Nrnp 6560 Midterm Exam (V2) (160+) Questions & Accurate Answers Verified 100 % (Latest Version 2024-2025)

Page 1 of 103 NRNP 6560 Midterm Exam (V2) (160+) Questions & Accurate Answers verified 100 % (Latest version 2024-2025) Surgery risk classes Class 1: benefits outweigh risk, should be done Class 2a: reasonable to perform Class 2b: should be considered Class 3: rarely appropriate General rules for surgery: testing ECG before surgery only if coronary disease, except when low risk surgery Stress test not indicated before surgery Do not do prophylactic coronary revascularization Meds before surgery - Diabetic agents: Use insulin therapy to maintain glycemic goals(iii) Discontinue biguanides, alpha glucosidase inhibitors, thiazolidinediones, sulfonylureas, and GLP-1 agonists - Do not start aspirin before surgery - Stop Warfarin 5 days before surgery. May be bridged with Lovenox.Page 2 of 103 - Do not stop statin before surgery - Do not start beta-blocker on day of surgery, but may continue Assessment of surgical risk - Unstable cardiac condition (recent M=, active angina, active :F, uncontrolled :TN, severe valvular disease), concern with CAD, C:F. arrhythmia, CVD - patient stable or unstable? - urgency of the procedure (oncology will be time sensitive) - risk of procedure - nutritional status - immune competence - determine functional capacity (need to be more than 4 METS, more