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Evaluation

Are you evaluating the anesthetic risk for a patient undergoing surgery?

Age of the patient

years

Weight

Ideal weight for the patient

Preoperative fasting period

hours

Serum potassium

Is the patient dehydrated?

Hemoglobin

Does the patient have any relevant allergies?

Does the patient have any other serious disease?

Expected operation time

minutes

Percent body surface area with second or third degree burns (enter from 0 to 100, with 0 if none)

Is inhalation burn injury present?

Select the appropriate answer for each finding

Patient status

Timing for procedure

Consciousness

Blood pressure

Heart

Pulse

Respiratory

Renal function

Liver disease

Diabetes

Results

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