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Week 1 Discussion
Rebecca Brown
Initial Post
For this week’s discussion focuses on risk stratification for the preoperative patient
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Education needs and strategies should be considered as well as what
the informed consent for each procedure would be
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Group A Scenario
This case scenario involves a 60-year-old female with no previous cardiac history, except for
preoperative stratification for a new murmur
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The proposed surgery for this patient is a
total knee replacement
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My rationale
for high risk includes but not limited to newly diagnosed murmur, severe aortic stenosis, and
having a total knee replacement, which is considered an elective surgery
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In patients with asymptomatic severe AS, the
risk of surgery should be taken into consideration; low to moderate risk non cardiac surgery may
be safe, but high-risk surgery may pose an increased risk, and elective surgery should be
performed only if strictly necessary; otherwise, patients should first be evaluated for possible
SAVR or TAVR
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A total knee replacement
surgery is considered an intermediate risk surgery and has many post op complications that can
develop from the patient with severe aortic stenosis
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This patient would need
to be provided with the proper education on her risk and potential outcome of proceeding with
the TKR
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J
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Practice Considerations for Adult-Gerontology Acute Care Nurse
Practitioners (3rd ed
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Retrieved from
https://www
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com/ebook/practice-considerations-agacnp-3rd-edition/
Bonaccorsi, H
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, & Burns, B
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Perioperative Cardiac Management
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ncbi
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nih
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E
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2022 ESC Guidelines for CV Assessment of Noncardiac
Surgery: Key Points
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acc
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A
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Aortic Stenosis in Noncardiac Surgery
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medscape
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, Radhakishnan, G
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et al
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Surg Endosc 36, 8451–8457 (2022)
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org/10

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