ACE Exam 1 Flashcards
MC SE of deep cervical plexus block
ipsilateral diaphragm paresis
What nerve block occurs b/w pec major and pec minor?
PECS I
-analgesia to upper anterolateral chest wall
What nerve block occurs b/w pec minor and serratus anterior?
PECS II
-blocks cutenaous branches of intercostal nerves T2-T6
-analgesia to upper anterolateral chest wall
What area does the serratus anterior plane block block?
Cutaneous branches of intercostal nerves
T3-T9
-analgesia to lateral chest wall
-can block long thoracic and thoracodorsal nerves
What does erector spinae plane block cover?
Spinal nerve dorsal and ventral rami
-T2-T9 (if blocked at T5)
-anterior, lateral, posterior chest wall covered
What blood product is stored at room temp and why?
plts
-cooling causes them to activate and aggregate
If full term infant, at what post conceptual age do you need additional monitoring after GA?
< 44 weeks
If preterm infant, at what postconceptual age do you still require monitoring after GA?
< 60 weeks
who is more likley to have postop apnea: SGA or LGA?
LGA
-SGA protected from apnea
bronchopulm dysplasia and postop apnea
does NOT correlate
At what Hct is there an inc risk of postop apnea in neonates?
< 30%
Buprenorphine formulations approved for opioid use d/o
-sublingual tablets
-sublingual film
-subdermal implant
-extended release solution for injxn
-buccal film
FDA approved buprenorphine formulations for chronic pain
-transdermal patch
-buccal film
Buprenorphine mechanism of action
-partial mu opioid agonist
-weak kappa antagonist
-delta agonist
Naltrexone
mu receptor antagonist
-competitive, displaces opioid drugs
MC complication assoc w/ placement of radial art lines?
transient arterial occlusion
(hematoma formation 2nd)
Cerebral perfusion pressure equation
MAP - ICP (or CVP whatevers higher)
-if CVP increased w/ PPV -> dec cerebral perfusion
-PPV -> inc intrathoracic pressure -> inc CSF pressure
pt on hospice, COPD, optimized on O2 and resp meds, still has dyspnea, what to do?
morphine
How long to desat in an RSI pt breathing room air? healthy otherwise
60 seconds
After preoxyengation, healthy patient, how long to desat?
7 minutes
Adequately preoxygenated obese pt, how long to desat?
1-2 minutes
HIPAA privacy rule
identifies personal health info -> estabilishes protection w/ health plans, health care clearing houses, and health care providers
HIPAA Security rule
sets the standards for protecting electronic PHI
HIPAA Enforcecment rule
establishes the processes by which a breach of HIPAA would be investigated and the sanctions that apply