H & P
PMHx
- GA/RA before
- Adverse reaction to Anesthesia
- PONV
- FHx of life-threatening reactions to anesthesia
Allergy
- Focused on drug
- Abx, Anesthesia agent, Latex, Tapes
Med and Substances Use
ROS
- Cardiovascular
- Conditions: IHD/CAD, arrhythmia, HTN, DLD, exerctional CP, hardwares
- Past Tests: Last echo/stress test/ECG/hx of stenting/medication
- Functions: METS & HF - NYHA Classification (1-4) classes
- Respiratory
- GI
- Renal
- Hepatic
- Endocrine
- Musculoskeletal conditions (including arthritides affecting the c-spine)
- Hematologic conditions (personal and family history of coagulopathies)