CPAN Tammy Flashcards
Fasting Recommendations-
Clear liquid-2 hours
Breast milk-4 hours
Infant formula- 6 hours
Non- human milk-6 hours
Light meal-6 hours
Food-8 hour
Myasthenia gravies drugs to avoid
MG pts r resistant to succinylcholine, may require larger dose.
Also sensitivity to non-depolarizing muscle relaxants.
Biot breathing
Quick shallow inspiration followed by regular or irregular periods of apnea
Cheyne-Stoke
Periods of apnea, alternating with rhythmic , shallow progressively deeper and then shallower respirations
Normal INR-
0.7 to 1.8
APTT
30 to 40 seconds
Normal fibrinogen
200 to 400 mg/100ml
D-diner normal result
<250ng/ml
What does d-dimer do?
Breakdown of fibrin
Affects of DIC
Prolonged PT, PTT, INR, TT.
Decreased platelets, fibrinogen
Increased fibrin degradation ( degree of fibrinolysis, and D-dimer ( breakdown of fibrin).
Hemophilia B- clotting factor IX
Interoperative FFP needed
1 unit PRBC’s
Increase Hgb by 1 gm
Hct- 3 %
1 unit of platelets =
5,000-to 10,000
FFP
Contains all coagulation factors except platelets
Signs of magnesium toxicity
Absence of (DTR’s) deep tissue reflexes, and clonus.
HELLP syndrome
Hemolysis-vasospasm causes endothelia damage, RBC’s forced through fibrin network at increased pressure, causing hemolysis.
Elevated liver enzymes-emboli form hepatic vascular, decreasing blood flow, resulting in ischemia.
Low platelets- thrombocytopenia platelets< 50,000 associated with coagulopathies.
Pregnancy is a state
Chronic compensated respiratory alkalemia
Cushing triad
Hypertension, bradycardia, bradypnea
Cushing triad seen in what condition?
Intercranial pressure
Intentional Tort
Consequences of actions that can be reasonably foreseen, violate duty, or cause injury. Types of intentional torts include assault , battery, and false imprisonment.
Negligence
Tort that is a failure to provide care that a reasonable person ordinary would provide in similar circumstances
Quasi-Intentional Tort-
Involves more intent than malpractice and includes invasion of privacy and defemation
Tort Law
Civil wrong, other than a breach of contract, in which the law allows an injured person to seek damages from the person who caused the injury
