You arrive to find a 64 y/o F scheduled for left nephrectomy. PMH sig. for Limb-Girdle MD, HTN, MI in 2009 that did not require stent or intervention, and Takotsubo cardiomyopathy. Cath from last year was negative.

Patient states she has some weakness when first getting around, but otherwise tries to walk 1/2 mile a few times a week without SOB or CP.

This is going to be a total nephrectomy as the tumor is located right in the middle of the kidney.

Physical exam:
Already has 20g PIV in place

Students first, can you explain your plan for this case and what you will set up or be thinking of prior to induction. We can start there...