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PreAnaesthesia Questionnaire (Adult) contd Name 16. Age Do you have or have you ever had any of the following? Yes Heart murmur Heart attack Chest pain or angina Shortness of breath lying down Swollen

How to fill out pre-anaesformsia-questionnaire-adult-page2-may2010doc - dndc

How to fill out pre-anaesthesia-questionnaire-adult-page2-may2010doc - dndc:

1. Start by carefully reading the instructions at the beginning of the form. Make sure you understand the purpose of the questionnaire and the information it seeks to collect.
2. Begin filling out the form by providing your personal details such as your full name, date of birth, and contact information. It is important to provide accurate and up-to-date information.
3. Next, answer any questions regarding your medical history. This may include questions about previous surgeries, allergies, current medications, and any known medical conditions. Be thorough and provide as much detail as possible.
4. The form may also ask about your lifestyle habits, such as smoking or alcohol consumption. Answer these questions honestly and to the best of your knowledge.
5. If you have any specific concerns or questions about the upcoming anesthesia procedure, there may be a section where you can express them. Use this opportunity to communicate your concerns and seek clarification if needed.
6. Finally, once you have completed all the necessary sections of the questionnaire, review your answers to ensure accuracy. Double-check for any missed questions or areas that require further information.

Who needs pre-anaesthesia-questionnaire-adult-page2-may2010doc - dndc:

The pre-anaesthesia questionnaire is typically required for adult patients who are scheduled to undergo anesthesia for a medical procedure. This form helps the healthcare providers gather essential information about the patient's medical history, lifestyle habits, and any potential risks or complications that may arise during anesthesia administration. The questionnaire ensures that the healthcare team can provide safe and effective care tailored to the individual patient's needs.

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