30 Anesthesia and the Renal and Genitourinary Systems Flashcards
The glomerular filtration rate (GFR) is the best measure of glomerular function. Creatinine clearance is a good measure of the GFR; urine output is not.
- V ou F
Verdadeiro
Manifestacoes clinicas de Falencia Renal Cronica (6)
- HIpervolemia
- Acidemia
- HiperKalemia
- Disfuncao cardiorespiratoria
- Anemia
- Disturbios de sangramento
Serum creatinine, most commonly used as a marker of renal function, has several limitations. Newer biomarkers, such as ___1___ are better and earlier measures of ___2___ and the risk of ___3___, as well as related mortality.
- serum cystatin C,
- acute kidney injury
- end-stage renal disease
Newer techniques, such as laser prostatectomy, are making transurethral resection of the pros- tate (TURP) syndrome a rare event. TURP syndrome is a constellation of symptoms caused by the absorption of hypotonic bladder irrigants.
- Quais os sintomas?
- Hipoosmolaridade
- Hiponatremia
- Hiperglicinemia
- Hiperamonemia
- Hipervolemia
Causam sintomas cardiovasculares e neurologicos
Regional anesthesia offers several advantages over general anesthesia for standard, but not laser, TURP. Yet, 30-day mortality rates remain unchanged at 0.2% to 0.8%.
- V ou F
Verdadeiro
Contraindicates de Litotripsia por Ondas de Choque Extracorporea (2)
- Gestacao
- Disturbios de sangramento nao tratados
Radical prostatectomy may cause significant blood loss, and intraoperative venous air emboli can occur
- Vantagens da anestesia regional para Prostatectomia Radical (3)
- ↓Sangramento
- ↓TVP
- inicio de analgesia preceptiva
Whether outcomes are dependent on the choice of anesthesia is not clear.
Vantagens da prostatectomia robotica em relacao a tecnica aberta (2)
- ↓Sangramento
- ↓Dor
Preocupações anestesicas em relacao a cirurgia robotica para prostatectomia
- Hipercarbia
- Hipoxemia
- ↑PIO
- ↑PIC
- ↓perfusao MMII
- Lesoes posicionais
In pediatric urologic patients, a careful history should exclude:
- Other nonurologic congenital lesions.
Sobre os rins e Ureter, quais as inervações:
- Simpaticas
- Parassimpaticas
- Dor
The afferents carrying sensations of stretch and fullness of the bladder are ___1___ , whereas pain, touch, and temperature sensations are carried by ___2___ nerves.
- parasympathetic
- sympathetic
Sobre os rins e Ureter, quais as inervações:
- Simpaticas
- Parassimpaticas
- Dor
Sympathetic fibers are predominantly ___1___ in the bladder base and urethra, and ___2___ in the bladder dome and lateral wall. Knowledge of these aspects of neuroanatomy is important to appreciate the pharma- cologic effects on the urologic system of neural ablation or regional block and drugs with adrenergic or cholinergic effects
- α-adrenergic
- β-adrenergic
Sobre os testiculos, qual a inervação:
- Simpatica
- Parassimpatica
- Dor
- T10-L2
- NS
- T10-L1
The testes descend from their intraabdominal location to the scrotum during fetal development. Because they share their embryologic origin with the kidney, their nerve supply is similar to that of the kidney and upper part of the ureter and extends up to the T10 spinal segment.
Kidneys successfully autoregulate their blood flow between ______ mean arterial pressures.
60 and 160 mmHg
When the GFR is ______ of normal, it is called end-stage renal dis- ease (ESRD), and continued survival without renal replacement therapy becomes impossible.
5% to 10%
Creati- nine clearance can be calculated by the following formula derived by Cockcroft-Gault:
The main limitation of current GFR estimates is:
The greater inaccuracy in populations without known chronic kidney disease than in those with the disease.
