|
Investigations for Day Case patients |
|
Specific Investigations:
¨ Hb if history of anaemia, or pale
¨ U&E if over 70 years old . If on medication affecting biochemistry e.g diuretics, digoxin or steroids, if the patient has renal disease or diabetes
¨ ECG if over 60 years of age If history or examination suggest cardiac disease, e.g. hypertension, angina, previous MI, rhythm disturbance, heart murmur, cardiac drugs Significant systemic disease with associated cardiac involvement, e.g. diabetes, rheumatic fever etc.
¨ Coag screen if on warfarin or bleeding disorder
¨ Sickle Test any susceptible racial group, if status known NB can check register by telephoning Haematology Lab
¨ Chest X-ray no indication (except recent immigrants from areas with endemic TB) If examination indicates chest X-ray, the patient is probably not suitable for day surgery.
¨ Peak flow if asthma
¨ O2 sats if any doubt about respiratory function
¨ Warfarin patients are not suitable for daycase |
|
Investigations should be clinically guided. For most patients complying with selection criteria, NO routine investigations are necessary. Management is unlikely to be altered if the patient has been clinically assessed to be in good health. |
