6. General Anesthetics Flashcards
Should you stop aspiring on a patient with stents?
no.
how long should you wait to have a surgery after balloon angioplasty?
14 days
how long should you wait after a bare-metal stent procedure before you do another surgery?
minimum 6 wks
optimally > 3 months
how long should you wait after a drug-eluting stent procedure if you just want to proceed to surgery w/ aspirij?
12 months
do you keep using beta-blockers?
continue using it
which drugs do you hold the day of surgery?
diuretic
ACEI
ARB
who should be considered for a CBC?
children < 1 y/o
menstruating females
suspected aneamia
low K+ levels may put patient at risk of what?
cardiac arrhythmias
what is the normal range of K+?
3.5-5 mEq/L
what is the acceptable blood glucose range to do surgery?
less than 200 mg/dl
what is the only depolarizing muscle relaxant?
succinylcholine
what is the MOA of succinylcholine?
binds to alpha-receptors of nAch R and prevents repolarization (the channel stays open!)
contraindications to spinal anesthesia?
- sepsis
- bacteremia
- skin infection at injection site
- severe hypovolemia
- coagulaopathies and anticoagulants
- increased ICP
Where should spinal anesthesia be done?
btwn L2-3 and L5-S1
physiologic effects of spinal anesthesia?
bradycardia and hypotension
