Clinicals

Question 1

Propofol

Answer 1

1-3mg/kg
70-210mg
10mg per ml

Question 2

Fentanyl

Answer 2

5-40 mcg/kg
50mcg
150 is alot

Question 3

Midazolam

Answer 3

0.15- 0.35mg/kg
10-25mg
Reality- 1-4mg

Question 4

Roc

Answer 4

1.2mg/kg
max 100mg

Question 5

Phenyl

Answer 5

80mcg (1ml) at a time
10mg/ ml

Question 6

Sugammadex

Answer 6

2-4mg/kg
100mg per ML

Question 7

Lidocaine

Answer 7

1-3mg/kg
100mg
70-210mg

Question 8

Sevo

Answer 8

147mmHg
MAC 2%

Question 9

Precedex

Answer 9

5mcg/ml
20mcg in 4 ml

Question 10

Succ

Answer 10

1mg/kg

Question 11

Ephederine

Answer 11

5mg(1ml)

Question 12

Hydralazine

Answer 12

20mg(1ml)

Question 13

Ketamine dose

Answer 13

1-2mg/kg
100mg for induction
20mg for maintenance dose

Question 14

Fent and seizure

Answer 14

Lowers threshold

Question 15

Succ and obesity

Answer 15

Obesity increases plasma cholinesterases
Chews up succ
Dose requirement is 1.5mg/ kg IBW

Question 16

Potentiate NMB

Answer 16

Ca channel blockers
Volatile gasses
Not TIVA

Question 17

Phase 1 vs phase 2 block

Answer 17

1- succ, even
2- ND, fade

Question 18

TOF ratio

Answer 18

T4/T1
Ideally 90/100

Question 19

Safest LA for pregnancy

Answer 19

Prilocaine bc fast metabolism

Question 20

Dibucaine #

Answer 20

Measures plaza pseudocholinesterases to ensure the pt can break down succ
Normal >80
Deficiency <20

Question 21

Remi fentanyl metabolism

Answer 21

Unspecific cholinesterases
Plasma cholinesterase deficiency doesn’t matter

Question 22

Opioids se

Answer 22

Low HR
Low RR
constipiation
Pupil constriction

Question 23

Remifentanyl CSHT

Answer 23

Stays short no matter what

Question 24

What to avoid in patients with PH, what to give

Answer 24

Nitrous oxide
Ketamine
Both increase resistance via SNS stimulation
Give: inhaled nitric oxide, NTG, PDE inhibitors, CCB, ACEI

Question 25

When not to use lidocaine

Answer 25

Ablation
They want to induce arrhythmias so they can ablate it

Question 26

Vaso

Answer 26

20units drawn up in 19ml LR
To make 1unit/1ml
Then give 2 units

Question 27

Protamine

Answer 27

Depends on how much heparin given
50mg-400mg
Push slow, can cause hypotension and PH
should give it over 1-15 minutes
But 1 minute is good for 50mg

Question 28

Romazicon

Answer 28

Versed
.2mg q45s
Max 1mg

Question 29

Narcan

Answer 29

2mg q2 min
Max 10mg

Question 30

Atropine bradycardia dose

Answer 30

1mg q3m
Max 3mg

Question 31

Difficult intubation predictors

Answer 31

Short TMD <6cm
Limited cervical motion
Thick neck
Upper lip bite test

Question 32

What to ask in pre op

Answer 32

-Name, procedure
-History of anesthesia reactions in the past (n/v, MH)
-Open mouth, bite upper lip, look up, look down
-brain; stroke (residuals); seizure
-heart; heart attack, stent, valvular disease, high blood pressure, high cholesterol, CV METS
-lungs; asthma, COPD, sleep apnea, smoke (how long)
-stomach/ kidneys/ liver- dialysis or kidney injury, cirrhosis , GERD
-endocrine; DM, thyroid
-meds:

Question 33

Ephederine per

Answer 33

5 per

Question 34

Sugga per

Answer 34

100

Question 35

Vaso per

Answer 35

Draw up in 20 ml
1 per
Give 2u

Question 36

ROC per

Answer 36

10

Question 37

Succ per

Answer 37

20

Question 38

Prop per

Answer 38

10

Question 39

Fent per

Answer 39

50

Question 40

Versed per

Answer 40

1

Question 41

Ketamine per

Answer 41

10

Question 42

Phenyl per

Answer 42

80

Question 43

Etom per

Answer 43

2

Question 44

Hydrazine per

Answer 44

20

Question 45

Lido per

Answer 45

20