Applied Science for Medicine Anatomy and physiology of the heart and lungs Physiology of body fluid compartments Microbiology of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), extended-spectrum beta-lactamases (ESBLs) Pharmacology of low molecular weight heparin, clopidogrel, aspirin
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Clinical and Communication Skills History from a patient in a surgical pre-admission clinic; take a medication history Perform a full systems examination Recognise adverse factors that increase the risk of perioperative complications Classify patients using American Society of Anaesthesiologists (ASA) criteria and undertake a risk vs benefit assessment Perform venepuncture, arterial blood gas Indications for echocardiogram Interpret full blood count, renal function, liver function tests, coagulation screen, ECG, chest X-ray, pulmonary function tests/spirometry, HbA1c, blood group and antibody screen Management in the perioperative period of thromboembolic disease, anticoagulation and antiplatelet agents, fluid and electrolyte balance, glucose control, antibiotics, decolonisation of resistant organisms Outline management of perioperative checklist (eg. marking surgical site, consent form), high-risk surgical patient Provide instructions for pre operative medication regimen and prescribe on in-patient prescription chart Role of anaesthetist, cardiologist, surgeon, transfusion medicine specialist Anaesthetic and common post-surgical complications
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