Lytes and gum case cancelations

Discussion in 'Anesthesiology' started by napman, 05.15.14.

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  1. napman

    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?
     
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  3. Consigliere

    Consigliere 7+ Year Member

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

    chmd ASA Member 2+ Year Member

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    Miller says < 2.6 or > 6 for k I think
     
  5. Jay K

    Jay K nullum gratuitum prandium 5+ Year Member

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

    Noyac ASA Member SDN Advisor 10+ Year Member

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    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.
     
  7. pgg

    pgg Laugh at me, will they? SDN Moderator 10+ Year Member

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