Advanced ABA Flashcards
Parkland Formula
24 h Fluid = 4 mL x Weight x % Burned
- 1/2 Fluid (1st 8 h)
- 1/2 Fluid (2nd 16 h)
Right Shift with Oxygen Hgb Curve
Acidosis, CO2, 2,3-BPG, Temp, Altitude
Type 1 Fiber Characteristics
Slow-twitch, high-oxidative, fatigue resistant
Best ETT for CO2 Laser Case
Metal Wrapped or Flexible Metal Tubes
Best ETT for Nd:YAG Laser
Silicone or Rubber with Silver
High Risk Cases for VAE
Craniotomy (Seated), Posterior Fossa, Laparoscopic, Total Hip, CVC, Craniosynostosis
Hypoplastic Left Heart Syndrome - Procedure Sequence
No (Norwood), Glenn (Good), Fontan (For) YOU!
Hemophilia Co-Factors Affected (A, B, C)
A (Eat) - 8, B (Benign), and C - 11
Allergenic Compound in Aminoester Anesthetics?
PABA
Allergenic Compound in Aminoamides?
Methylparaben
What Fascial Layer Incases the Femoral Nerve (POP)
Fascia Iliaca
Primary Adrenal Insufficiency Cosyntropin Stim Test Findings
Low Baseline Cortisol (<20 mcg/dL), Stim Cortisol (< 25% increase usually less than 20 mcg/dL)
Quantify +/- SD of 1, 2, and 3
68%, 95%, and 99.7%
TEG 6s: CK MA (Low) CCF (normal)
Likely preserved fibrinogen with low PLTs or PLT Dysfunction
What’s in Cryo?
Fibrinogen, VIII, vWF, XIII, and Fibronectin
What drugs cerebral palsy more sensitive and more resistant to?
Sensitive: Volatiles
Resistant: NDNMB
What’s the typical volume status for a patient with cerebral salt wasting?
Hypovolemic (usually after SAH)
What is a major airway management concern for achondroplasia (dwarfism)?
AA Instability
Carbamazepine - MOA & Black Box Warning
MOA: Na channel Blocker
Black Box: TEN, agranulocytosis, aplastic anemia.
Pierre Robin Sequence Triad
Glossoptosis
Micrognathia
Airway Obstruction
Disorders associated with increase V/Q ratio?
Emphysema (Increased V)
PE (Decreased Q)
Disorders that decease V/Q Ratio?
COPD (chronic bronchitis), Asthma, Pulmonary Edema, HPS, ASD, VSD
Risk Factors for Post-op Vision Loss and how common?
Hypotension, Length of Surgery, Large EBL, High Crystalloid, Anemia, Hemodilution, and Prone
Rare: 0.09%
1 MAC for Sevo, Iso, and Des
Sevo: 1.8%
Iso: 1.2%
Des: 6.6%