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Pre anesthetic evaluation and preparation should embrace: o Medical History o Relevant bodily examination o Checking the results of tests or investigation o Correct or improve any medical circumstances earlier than surgical procedure o Prescribing any drugs for pre-medicine (if wanted) o Explaining to the affected person the procedure of anesthesia History o Diagnosis and deliberate surgery o Actual medical and surgical history Respiratory system: Ask if there may be historical past of shortness of breath, cough, sputum production and wheezing Cardiovascular system: Check if there is history of: o Angina/earlier myocardial infarction, present orthopnea, ankle swelling Past medical history: Such as bleeding problems, hypertension, asthma, seizures, psychiatric disorders, previous anesthesia and any drawback associated to anesthesia 107 Drug therapy: History of consumption of medication like: Anti-diabetics Anticoagulants Steroids Anti-hypertensive Additional historical past on: Excessive alcohol consumption, smoking and allergy symptoms to medication Pregnancy Dental status (loose teeth) Fasting Physical Examination Respiratory System Check for cyanosis, finger clubbing, sample and frequency of breathing, position of trachea, presence of added sounds on auscultation and their localization women’s health clinic hamilton new zealand best purchase female viagra. 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