Blood And Fluid Flashcards
One unit of PRBCs raises the Hct by _____ %?
3%
Identify the areas of the upper extremities that are at high risk for developing position related nerve damage?
Ulnar Neuropathy, Brachial Plexus, Radial and median nerve
Most common ocular injury?
Corneal Abrasion
main complication with the supine lithotomy position?
Airway Obstruction and decreased Tidal Volumes
In the supine position abdominal contents cause a decrease in the patients ________?
Functional Residual Capacity (FRC) by 25%
The ________ lies in close proximity to the fixed first rib, clavicle and humerus and is predisposed to compression.
Brachial plexus
The number one nerve injury related to positioning involve the _______?
Ulnar Nerve
The classic site of injury to the ulnar nerve is?
Behind the ulnar groove behind the medial epicondyle of the humerus
This position is associated with the greatest number of ocular injuries?
Lateral
When supine the arms should not be abducted greater than ______ degrees and the wrist should be _______?
90, supinated (palms up)
Trendelenberg postion affects the body in what manner?
Increase: CVP, ICP, Intraocular pressure
Decrease: FRC and Pulmonary compliance
4 ways to avoid a Brachial Plexus injury?
Keep Head Midline
Arms kept at < 90 degrees
Elbows mildly flexed
Use a non-sliding mattress for Trendelenburg
Reverse trendelenberg affects the body in what manner?
Decreases venous return
What is the biggest concern for a patient in the sitting position?
Air embolism
what is the best way to detect a air embolism?
Esophageal stethoscope
3 goals of positioning?
Maximum exposure for the surgeon
Access to the patient for ventilation and monitoring
Promote satisfactory surgical results
Greater then ______ hours for surgery increase position related injuries?
4-5 hours
_________ accounts for 89% of all postop visual loss?
Ischemic optic neuropathy (ION)
1 Unit of PRBCs raises the Hgb _______ ?
1 gm
FFP is viable for _____ and has a volume of ______ ?
1 yr, 200-250 ml
1 unit of Platelets increase the count by____?
5,000 - 10,000
For every 4 units of PRBCs give ________?
1 unit of FFP
For every 8 units of PRBCs give ______, _______?
2 units of FFP, 4 pack of Platelets
Autologous blood can be obtained by ____, ____, _____?
Predepositing, Hemodilution (removing 1-2 units immediately intraoperatively), Post-op Salvage