ACE 2013-10b Flashcards
Criteria that is common to both Modified Aldrete Scoring System (MASS) and Post Anesthetic Discharge Scoring System (PADSS)
Activity
Other than age, what are risk factors for postop apnea?
Anemia, stressors like hypothermia and pain
Absolute contraindication to electroconvulsive therapy
Pheochromocytoma
Reason for bradycardia with low spinal anesthesia
Reverse Bainbridge reflex: inhibition of stretch receptor reflex from atrial wall
Peak serum levels of lidocaine occurs how many hours after tumescent technique for liposuction
12-14 hrs
Obesity hypoventilation syndrome’s triad of features
1) Obesity, BMI > 30
2) daytime awake hypercapnia, pco2 > 45
3) sleep disordered breathing
EEG waves of patient receiving dexmedetomidine
Resembles normal sleep with moderate slowing
EEG waves of a patient receiving high dose opioids
Delta waves
Methamphetamine metabolism
Liver, predominantly by CYP2D6
Why doesn’t succinylcholine cross placenta to the fetus
High degree of ionization
Highest risk factor for postop cognitive dysfunction
Advanced age
IV therapy for metastatic bone pain when PO meds are insufficient
Samarium-153, a radiopharmaceutical
Half life of midazolam
2 hrs
Spinal anesthesia to T3 level decreases what lung volume
Expiratory reserve volume which means reduction of vital capacity. Results from paralysis of abdominal and intercostal muscles.
Emergent delivery of baby is indicated for fetal scalp blood pH less than
7.2
Agent of choice as alternative anticoagulation strategy in patients with HIT
Argatroban, a direct thrombin inhibitor
Vertebral landmark used to perform a stellate ganglion block
Chassaignac tubercle, the transverse process of C6
Vertebral landmark for celiac plexus block
Inferior aspect of anterolateral T12 vertebral body
Drug used to decrease risk of the bleeding in a patient with subarachnoid hemorrhage, but also increases risk of ischemic events or stroke
Tranexamic acid
Heliox mixture is helpful to increase gas flow because of decrease of what property
Density
Serotonin syndrome clinical signs
Agitation, delirium, hyperthermia, tachycardia, tremor, muscle rigidity
Vincristine side effect
Neurotoxicity
Bleomycin toxicity
Pulmonary
Cisplatin toxicity
Renal dysfunction, peripheral neuropathy
What abnormal physiologic parameters may increase likelihood of provoking oculocardiac reflex
Hypercapnia and hypoxemia
Purpose of dispersive pad (sticky pad) used with monopolar electrocautery
Reduce current density
