Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Apex > Boot Camp Week 3 > Flashcards

Boot Camp Week 3 Flashcards

1
Q

What are risk factors for an epidural abscess?

A

Diabetes
ETOH
Cancer
Immunosuppression
Active infection elsewhere
IVDU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the tonic phase of ECT

A

15 seconds of increased parasympathetic activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the clonic phase of ECT

A

Several minutes of increased SNS activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What respiratory pattern is ideal for ECT?

A

Hyperventilation leads to a more prolonged/better seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are RELATIVE contraindications to ECT?

A

Pregnancy
Pacemaker
CHF
Glaucoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the MOA of intralipid?

A

creates an expanded lipid phase, which drives toxic drugs from the tissue to the plasma and therefore toward metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are BG goals in CT surgery patients?

A

less than 180 during CPB
Less than 150 in ICU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the FIRST thing you should do when a surgeon gets ready to enter the trachea?

A

Remind them to switch to scalpel instead of cautery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the most sensitive leads during CARDIAC surgery?

A

Lead II
V5 (because V4 usually is moved for surgical purposes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the most serious complication of DBS placement?

A

Intracerebral hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does most blood loss occur in spinal surgery?

A

During Decortication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What should be avoided during OLV in COPD patients?

A

No PEEP! in everybody else, PEEP is helpful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CRAO is caused by:
ION is caused by:

A

CRAO: external compression of the globe

ION: loss of watershed perfusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are risk factors for ION?

A

Male Sex
obesity
Long procedure
Wilson Frame

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are risk factors for CRAO?

A

Horseshoe headrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When do serum levels from tumescent lidocaine peak?

A

12-14 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When is the patient with CAD at HIGHEST risk for MI?

A

It’s usually within 48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the indications for Cryo?

A

Fibrinogen Deficiency
vWD
Hemophilia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Which phase of ECT is associated with skeletal muscle rigidity?

A

Tonic

Clonic is convulsions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

List each heat loss mechanism in order of importance

A

Radiation
Convection
Evaporation
Conduction

21
Q

What is the effect of hypocapnea on coronary arteries?

A

Vasoconstriction

22
Q

What four conditions increases the risk of HOCM exacerbation?

A

Decreased Preload
Decreased Afterload
Increased HR
Increased Contractility

23
Q

What is lusitropy?

A

Relaxation

24
Q

What is dromotropy?

A

Conduction

25
Q

What are the four categories of antiarrhythmic drugs?

A
26
Q

The RCA gives rise to which arteries?

A

Posterior
Right Marginal

27
Q

The LCA gives rise to which arteries?

A

Cflx
Ant. Interventricular

28
Q

Which drugs undergo plasma hydrolysis?

A

Anything metabolized by pseudocholinesterase or nonspecific esterases

29
Q

List all of the drugs that antagonize NMDA

A

Nitrous
Xenon
Ketamine
Dextromethorphan
Methadone
Magnesium

30
Q

FiO2 and Nasal Cannula

A
31
Q

What is the acceptable level of halogenated agents alone and with nitrous?

A

Alone 2ppm

With Nitrous 0.5ppm

32
Q

What is the most common valve disease in ankylosing spondylitis?

A

Aortic Regurg

33
Q

Which pain med is contraindicated in thyroid storm

A

Aspirin. It can dislodge T4 from albumin

34
Q

Compared to the general population, geriatric patients have a _______ IV induction and a ______ inhalation induction

A

Slower IV
Faster Inhalation

35
Q

In terms of body composition, geriatrics have increased ______ and decreased _______

A

Increased fat
decreased lean body mass

36
Q

In geriatric patients the Vd for hydrophilic drugs is _______

A

smaller

37
Q

Less muscle mass causes:

A

Decreased BMR
Decreased TB water
Decreased blood volume
Decreased plasma volume

38
Q

In geriatric patients the Vd for lipophilic drugs is _____

A

Larger

May prolong elimination

39
Q

How are drug plasma concentrations altered in the elderly?

A

Albumin is lower, so acidic drugs will have a higher free fraction

Alpha 1 is higher, so basic drugs will have a lower free fraction

40
Q

Which lung parameters increase in the elderly?

A

MV
Lung Compliance
RV
FRC
Closing Capacity

41
Q

Which lung parameters decrease in the elderly?

A

Lung elasticity
Chest wall compliance
VC
IRV
ERV
FVC & FEV1

42
Q

At what age does closing capacity occur during tidal breathing while standing?

A

65

43
Q

At what age does closing capacity occur during tidal breathing while supine?

A

45

44
Q

Which cardiac parameters are decreased in the elderly?

A

CO
HR
SV
Diastolic Function

45
Q

How do geriatrics respond to neuraxial anesthetics?

A

Smaller epidural and spinal spaces, requiring dose reduction

46
Q

How is GFR impacted by age?

A

Approximately 125ml/min in the adult male

Reduces by 1 ml/min/year after age 40

47
Q

How is hepatocellular function impacted by age

A

It isn’t. Hepatic function remains intact, but blood flow to the liver decreases

48
Q

What are the indications for FFP?

A

Coagulopathy
Warfarin Reversal
Antithrombin Deficiency
Mass Transfusion
DIC
Hereditary Angioedema

Apex (46 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions