ACE 2012-9b Flashcards
Pt is on daily oral naltrexone, what should he do about this drug in preparation for surgery?
Naltrexone should be stopped immediately
Opioid requirements for a patient undergoing surgery that has been taking an oral combo drug of extended release morphine and naltrexone (Embeda)
Unchanged if pill is used correctly.
T-test is what type of analytical test?
Parametric test that can be used to determine if there is a significant difference between the means of 2 groups
2 types of analysis most commonly used for survival analysis
Kaplan-Meier analysis and Cox proportional hazards regression model
Jaw necrosis is a well documented complication of what drug?
Bisphosphonates
Chronic pain drugs associated with development of osteoporosis
First generation anticonvulsants like phenytoin
Common drawbacks of gabapentin
Sedation, weight gain, peripheral edema, cognitive effects
Cardiac abnormality associated with hyperthyroidism
Atrial fibrillation
Cardiac abnormality associated with hypothyroidism
Pericardial effusion
Management of pt with mediastinal mass causing tracheal compression
- Secure airway while awake if possible
- maintain spontaneous ventilation
- monitor airway compromise postop
RIFLE criteria for AKI
1 of the following criteria within 48 hrs
- absolute increase in Cr of 0.3
- 50% or more increase in Cr
- UOP < 0.5 mL/kg/hr for > 6 hrs
Standard stimulation site for SEP
Median nerve
Standard response site for MEP
Abductor pollicis brevis
Drug dosing based on Ideal body weight or lean body weight in a morbid obese pt would result in too small of a dose
Ideal body weight
Dose of propofol for induction and fentanyl and remifentanil should be based on what type of weight for obese pts?
Lean body weight (LBW)
Dose of succinylcholine for induction should be based on what type of weight for obese pts?
TBW (total body weight)
Dose of vecuronium and rocuronium for induction should be based on what type of weight for obese pts?
IBW (ideal body weight)
Larynx of neonate is located at what vertebral level?
C3-4
Larynx of adult is located at what vertebral level?
C4-5
Anterior attachment of neonate vocal cords in relation to posterior attachment
More caudad. “Anterior = away”
Larynx of preterm neonate is located at what vertebral level?
C3
Mechanism of action of dabigatran (pradaxa)
Direct thrombin inhibitor
Half life of dabigatran (pradaxa)
12 hrs
Peak effect of dabigatran (pradaxa)
2-3 hrs
Mechanism of action of clopidogrel and ticlopidine
Platelet inhibitors, ADP receptor inhibitor
Mechanism of action of tirofiban
Platelet inhibitor, 2b-3a receptor inhibitor
Wrist drop and diminished brachioradialis reflex is injury of what nerve?
Radial nerve
Loss of thumb abduction is injury of what nerve?
Median nerve