Lytes and gum case cancelations

[napman]

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1, We at our institution do not order routine lytel for patients but some of the inpatients come with abnormal lab values. What is the value of K and Na that you are comfortable doing a case. I do not see any strong studies to guide ( except some text book recommendations). Do you have institutional guidelines where you say no to a surgery if lab values are out of range. I would appreciate if you can provide referance

2, How long will you wait for NPO status if you see a patient in preop chewing gum?

 

[Consigliere]

2. I don't. Straight to the OR.

 

[chmd]

Miller says < 2.6 or > 6 for k I think

 

[Jay K]

1, We at our institution do not order routine lytel for patients but some of the inpatients come with abnormal lab values. What is the value of K and Na that you are comfortable doing a case. I do not see any strong studies to guide ( except some text book recommendations). Do you have institutional guidelines where you say no to a surgery if lab values are out of range. I would appreciate if you can provide referance

No, that's where your medical training, fund of knowledge, assessment of the patient and case to be done come into play.

 

[Noyac]

1) it depends on past measurements and how long these labs have been abnormal. I don't have strict cut offs.

2) gum. No problem. Carry on.

 

[pgg]

I treat gum as a clear liquid, 2 hours. I wouldn't throw stones or testify against anyone who didn't wait, however. There's data that says it doesn't change gastic volume, and there's data that says it does.

http://forums.studentdoctor.net/threads/gum-chewing.602900/