PROPOSED PRE-OP LAB GUIDELINES  - MRMC

 

 

Under age 40 and healthy : no lab

 

males over 40, females over 50 : ekg, cbc, u/a

 

smoker : ekg and chest xray, cbc, u/a

 

hypertension or on steroids : basic metabolic profile, cbc, u/a

 

alternate lifestyle or hempohilia :  cbc, u/a, hiv test

 

cancer / liver or kidney disease/ on anticoagulants :  cbc, protime/ptt, basic metabolic profile

 

history of sickle disease :  cbc, sickle prep, ekg, basic metabolic profile

 

females under age 50 not sterilized :  urine pregnancy test

 

major procedures [total joint, etc.] : type and screen

 

diabetic :  cbc, u/a,  basic metabolic profile, ekg

 

trauma :  cbc, u/a, type and screen as indicated, basic metabolic profile, chest xray as indicated,                        ekg as indicated

 

chest xray within 6 months ok if no change clinically [except trauma]

 

ekg within 6 months ok if no change clinically [except trauma]

 

other lab tests within 6 weeks ok if no change clinically [except trauma]

 

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PROPOSED NPO GUIDELINES

 

Under age 2 :

                no solids after midnight

                no milk after 6 hours preop

                no clear liquids after 4 hours preop

 

Age 2-5

 

                no solids or milk after midnight

                no clear liquids after 4 hours preop

 

Age 6 and over

 

                NPO after midnight

                no alcohol after 8 pm the night before surgery

 

On day of surgery, usual meds ok iwth a sip of water.  Ok to brush teeth, but do not swallow.