Anesthesiology

Question 0

E - cylinder je

Answer 0

Emergency cylinder (vzadu na anest.masine)

1000 psig = 330 L O2 (cca half full)

snese 5000 psig (ma pojistku na 3300 psig - pak pousti)

Question 1

Co je psig?

Answer 1

= pounds per square inch

Question 2

H - cylinder je

Answer 2

High - pressure cylinder

Question 3

Critical temperature of nitrous oxide (N2O):

Answer 3

36.5 st

tedy je kapalny za pokojove teploty

rovnovaha pri 20st je 745 psig

Question 4

Humidity at the operating theatre:

Answer 4

50 - 55%

> 55% -> affect the integrity of barrier devices

dry air facilitates airborne motility of particulate matter

Question 5

Fibrilation threshold potential:

Answer 5

100 mA (skin)

100 uA (directly to the heart)

Question 6

Fire triangle is:

Answer 6

1. Fuels (flammable liquids, drapes, intestinal gases etc)
2. Oxidizers (O2, N2O)
3. Ignition sources (laser, drills,

Question 7

vyzadat si

zasluhovat si

Answer 7

warrant

Question 8

Jake je max FiO2 u laser.surgery ?

Answer 8

30 %

Question 9

French is defined:

Answer 9

outside diameter = 0.33 x French size (mm)

Question 10

Flow pres katetry v l/hod:

Answer 10

Gauge

16 13
18 6
20 3.6

Question 11

Zvysuje uziti multiple-lumen katetru riziko infekce ?

Answer 11

Ne

Question 12

Zvysuje uziti multi-lumen katetru riziko trombozy?

Answer 12

sirsi prumer => vyssi riziko trombozy

Question 13

Jake jsou delky CVC?

Answer 13

16 (pro pravostrannou katetrizaci)

20 (pro levostrannou katetrizaci)

30

Question 14

Jake jsou druhy antimikrobialnich katetru?

Answer 14

Chlorhexidine + Sulfadiazin

Minocycline + Rifampin (vyssi ucinnost)

Question 15

Kdy je indikovan antimikrobialni katetr ?

Answer 15

doba zavedeni > 5 dni

vyssi incidence catether-related infection na ICU

Question 16

Dialyzacni katetr ma kanaly o sirce:

Answer 16

12 ga = 12 Fr

flow az 300 ml/min

do v.jug.int. (do subcl.ne - riziko stenozy)

Question 17

PICC kontraindikace:

Answer 17

1. Infekce/popaleni v miste vpichu
2. Tromboze v koncetine / PM
3. End-stage renal disease (zachovat zilu pro shunt)

Question 18

Jak dlouho trva antimikrobialni aktivita chlorhexidinu ?

Answer 18

at least 6hrs

must be let dry for 2min

Question 19

Head down tilt for cannulation of CV:

Answer 19

15% (vic nema smysl)

ne u zvyseneho ICP

Question 20

Flow ve velkych zilach:

Answer 20

• jugularis interna 500 - 1400 ml/min
• subclavia 350 - 800 ml/min
• femoralis 700 - 1100 ml/min

Question 21

Diameter of vena jug.interna:

Answer 21

1 - 2.2 cm

Question 22

Maxim. odklon hlavy u kanylace jugulary je:

Answer 22

30 st.

Question 23

Jak dlouho je nutna komprese po punkci arterie u kanyl CVC?

Answer 23

5 min

10 min u koagulopatie

Question 24

Komplikace u zavadeni v.subclavia:

Answer 24

• PNO (

Question 25

Stenoza v.subclavia byva:

Answer 25

• tydny az mesice po vytazeni (15 - 50%)

=> vyhnout se u end-stage kidney

Question 26

Kdy nedavat CVC do femoralky?

Answer 26

• tromboza (az 10% riziko trombozy)

- penetrujici brisni poraneni (riziko ruptury)

Question 27

PICC - vzdalenost antecubital fossa - right atrium:

Answer 27

l. dx.: 52cm

l. sin.: 56cm

Question 28

Venous air embolism - critical volume:

Answer 28

3 - 5 ml/kg (200 - 300ml)

=> air lock in RV -> RHF

• dyspnea, cough, drum-like murmur

Question 29

Venous air embolism - management:

Answer 29

1. suction via catether
2. LLP (chest compresions maybe)
3. O2 100%

Question 30

Jak idealne provadet x-rays na PNO?

Answer 30

upright position

forced exhalation

CAVE: may be evolving for up to 48hrs

Question 31

Kde ma byt spicka CVC?

Answer 31

na urovni nebo tesne nad carinou

Question 32

Intenzita zareni klesa:

Answer 32

se ctvercem vzdalenosti

I ~ 1/d2

Question 33

Maximum leakage allowed in the operating theatre is:

Answer 33

10 uA