- These are the investigations that are done before patient goes to theater.
FULL BLOOD COUNT
- All patients who are fit and well must have at least full blood count done before they go to theater, specially to check Hemoglobin levels.
- Normal Hb (>11.3g/dl in women / >13.5g/dl in men)
- There are two types of operations:
1. Emergency operation
-Even if Hb is low, always proceed with emergency operations
– If Hb <8g/dl then transfuse and stabilize first before proceeding
2. Elective or planned operation
-Only proceed if Hb>10g/dl
-If Hb<10 g/dl then defer the operation and investigate first .
-If Hb< 8g/dl you must also transfuse.
Note: If the Hb is < 8g/dl= do blood transfusion
- If you suspect atrial fibrillation (irregular pulse) or if there is a history of atrial fibrillation.
- I f there are signs of left ventricular failure or valvular disease.
NOTE: If it there are severe symptoms and findings, refer for specialist opinion.
BLOOD GLUCOSE :
- If one has a history of diabetes in family or other morbid factors.
MONITORING OF BLOOD PRESSURE:
- If there is history or findings of hypertension.
RESPIRATORY FUNCTION TEST:
- If patients has asthma or COPD
- If the patient has symptoms of cardio-respiratory dysfunction or the age is above 65 years.
- Sickle cell test: Since sickle cell disease is common in Afro-caribbean race all Afro-caribbean patients must undergo this test.
- HIV test: Please do not forget to take consent before you perform this test and always consider it if the patient is Iv drug abuser or homosexual.
- Clotting Screen: If there is history of easy bleeding after minor procedures like dental extraction.
Tags: BLOOD TRANSFUSION
, PRE-OPERATIVE INVESTIGATIONS
, PREOPERATIVE INVESTIGATIONS
, PREOPERATIVE PREPARATION
, RESPIRATORY FUNCTION TEST
, SICKLE CELL TEST
, TYPE OF OPERATIONS