Routine Tests

Most hospitals order routine laboratory tests before admission for surgery. Tests like urinalysis, chest x-rays, or complete blood counts can find potential problems. If they aren’t found and treated, they might complicate the surgery. Mary Pat Couig, R.N., is associate director for nursing affairs at the FDA. She says when you face surgery you need to talk with your doctor. You need to ask about the tests you need before the surgery. The following chart shows some tests commonly done before surgery. It also shows the symptoms that prompt doctors to order them.

TEST SYMPTOMS
chest x-ray shortness of breath
chest pain
cough
fever without other source
abnormal sounds
electrocardiogram (EKG) chest pain
palpitations
arrhythmia
murmur
distant heart sound
urinalysis frequency
hesitancy
discharge
side pain
kidney disease
diabetes
use of drugs known to cause kidney disease
white blood count fever
suspicion of infection
use of drugs known to affect white blood cell counts
platelet count blood loss
easy bruising
alcoholism
use of drugs known to affect platelet count
glucose excessive sweating with tremor or anxiety
muscle weakness
diabetes
pancreatitis
cystic fibrosis
altered mental status
alcoholism
potassium vomiting
diarrhea
congestive heart failure
kidney failure
muscle weakness
tissue damage
hypertension
diabetes
use of drugs known to affect potassium levels
Sodium vomiting
diarrhea
excessive sweating
thirst or fluid intake
pulmonary disease
central nervous system disease
congestive heart failure
cirrhosis
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