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ANESTHESIA QUESTIONNAIRE 1. Please fill out the SHADED areas on the following two pages. 2. To ensure your safety and comfort during anesthesia, please fill it out thoroughly. DONT FORGET TO LABEL.

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The pre-operative history and physical examination includes a review of medical history, the current medical condition requiring surgery or procedure, a physical examination, and the development of a surgical or procedural plan.

Among the things the anesthesiologist measures or observes, and uses to guide the type and amount of anesthetic given are: heart rate and rhythm, blood pressure, breathing rate or pattern, oxygen and carbon dioxide levels, and exhaled anesthetic concentration.

Can one refuse anesthesia before surgery? A patient who is mentally competent to make their own decisions can certainly decide not to have anesthesia. Keep in mind that if the medical procedure you are contemplating requires general anesthesia, then turning down the anesthesia may mean turning down the surgery.

They'll ask about your medical history and what medicines you take. Let them know if you: Have any allergies. Have a health condition, including high blood pressure, heart problems, diabetes, liver or kidney disease, sleep apnea, or thyroid disease.

At the pre-anesthesia testing appointment, you can expect to: Meet with a registered nurse (RN) and nurse practitioner (NP) Discuss any concerns with an anesthesiologist. Provide a list of all medications you use, including prescription, nonprescription, and over-the-counter medications and supplements.

The Pre-Anesthesia Questionnaire is used to help prepare you for the anesthesia process and assists in the development of your anesthesia care plan.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232