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Lytes and gum case cancelations

Discussion in 'Anesthesiology' started by napman, May 15, 2014.

  1. napman


    Apr 29, 2014
    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

    May 28, 2008
    Neither here nor there
    2. I don't. Straight to the OR.
    nimbus likes this.
  4. chmd

    chmd ASA Member 2+ Year Member

    Oct 12, 2013
    Miller says < 2.6 or > 6 for k I think
  5. Jay K

    Jay K nullum gratuitum prandium 5+ Year Member

    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

    Jun 20, 2005
    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? Moderator 10+ Year Member

    Dec 14, 2005
    Home Again

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