Hemodynamic monitoring

Female 67 years old, 72 kg, 162 cm, indicated for low resection of rectum due to colorectal tumour. Arterial hypertension in history (selfmonitoring blood pressure around 135/80-145/95 mmHg), IHD, type 2 diabetes mellitus on PAD, HLP, after LCHCE 12 years ago, general anesthesia without complications. Alergies denied. The schedule of chronic medications and the process of premedication take place in examinations, also don't forget to open the lab results.

Adequate monitoring is required before and certainly during the whole procedure of the general anesthesia. SpO2, EKG belongs to the basic monitoring and you chose the method of blood pressure monitoring yourself.
67
years
162
cm
72
kg
woman
RR
14 /min
HR
97 /min
SpO2
96 %
BP
190/94 (126) mmHg
EKG
rythm: sinus
action: regular
frequency: 96 bpm
axis: 43°
QRS: 100 ms
T isoel., T concordant., drowbar ventricular extrasystole
Examination
FA: Metformin (stopped 2 days before surgery), Prestarium Neo combi (perindoprilum argininum, indapamidum), Indapamid (indapamidum), Godasal (acidum acetylsalicylicum, glycinum) (stopped 7 days before surgery, LMWH 0.6 mL OD), Atoris (atrovastatinum calcicum), Premedication: no food since midnight, pure water no later than 2 hours before the procedure, no chronic medication in the morning, 1.5 mg PO Lexaurin (bromazepamum) administration, infusion of Plasmalyte 1000 mL at 6.00, lasting 6 hours. Fully conscious, fasting, oriented to place and time, fasting.
TTE: mild LV diastolic dysfunction, mild LV systolic dysfunction, septum akinesis, EF LKS 45 %
lungs X-ray bpn.
Glycaemia
Gly
6,5  mmol/L
Complete blood count
HGB
118  g/L
Coagulation
INR
1,1
anti Xa
0,1 IU/mL
Biochemical analysis
Na
135  mmol/L
K
4,3  mmol/L
Cl
104  mmol/L
Glycaemia
Take a sample
Complete blood count
Take a sample
Coagulation
Take a sample
Biochemical analysis
Take a sample