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A 57-year old male is in pre-surgical testing for an elective laparoscopiccholecystectomy. He has an otherwise unremarkable medical history, and he isscheduled at 1 PM on the day of surgery. Which of the following is against theASA guidelines for preoperative fasting? *(-/1 Point)70.Omelette with pancakes at 5 amEating toast with apple juice at 7 amCoffee with cream at 10 amDrinking orange juice at 7 am

Question

A 57-year old male is in pre-surgical testing for an elective laparoscopiccholecystectomy. He has an otherwise unremarkable medical history, and he isscheduled at 1 PM on the day of surgery. Which of the following is against theASA guidelines for preoperative fasting? *(-/1 Point)70.Omelette with pancakes at 5 amEating toast with apple juice at 7 amCoffee with cream at 10 amDrinking orange juice at 7 am

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Solution

The American Society of Anesthesiologists (ASA) guidelines for preoperative fasting state that patients should fast from:

  1. Solid foods for at least 6 hours before anesthesia.
  2. Non-clear liquids (such as milk, coffee with cream) for at least 6 hours before anesthesia.
  3. Clear liquids (such as water, fruit juices without pulp, carbonated beverages, clear tea, black coffee) up to 2 hours before anesthesia.

Given these guidelines, the option "Coffee with cream at 10 am" is against the ASA guidelines for preoperative fasting. This is because the surgery is scheduled at 1 PM and the patient is consuming a non-clear liquid (coffee with cream) less than 6 hours before anesthesia.

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