embolism Flashcards

1
Q

VAE S+S

A

decr EtCO2
decr O2
tachycardia
hypotension

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2
Q

VAE management (7)

A

no N2O
FiO2 100%
aspirate central line
give crystalloid
give vasopressor
incr PEEP
head down/Left tilt (durant’s)

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3
Q

orthopedic bone cement S+S

A

hypoxia
hypotension
arrythmias
PHTN
decr CO

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4
Q

orthopedic bone cement management

A

incr FiO2
euvolemia
good BP

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5
Q

how does polymethylacrylate work

A

exothermic expansion

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6
Q

what are tourniquets inflated to

A

SBP + 100mmHg

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7
Q

what tourniquet duration is associated with Rhabdo

A

2+hrs

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8
Q

tourniquet deflation/washout causes

A

hypotension
tachycardia
decr temp

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9
Q

what are fat embolisms common with

A

long bone fractures
TPN
CPR
liposuction

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10
Q

fat embolism S+S (7)

A

dyspnea
petechiae
decr plts
hypoxia
ST changes
decr EtCO2
RV strain

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11
Q

RV strain causes

A

incr PHTN

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12
Q

fat embolism management (4)

A

stabilize fracture
O2 therapy
treat hypotension
treat RV strain

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13
Q

RV strain treatment

A

pulm vasodilation
milrinone

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14
Q

ARDS S+S

A

decr SpO2

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15
Q

ARDS TV

A

4-6 mL/kg TV

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16
Q

ARDS FiO2

A

< 50%

17
Q

ARDS PEEP

A

high up to 15

18
Q

ARDS plateau pressyure

A

< 27 cmH2O

19
Q

ARDS drugs

A

NO
PGE1
prostacyclin

20
Q

what disorder incr DVT risk

A

factor 5 leiden

21
Q

DVT drug prophylaxis

A

heparin
warfarin
lovenox
neuraxial

22
Q

DVT management

A

anticoags
thrombotics
IVC filter
thrombectomy/embolectomy

23
Q

AFE S+S

A

tachycardia
cyanosis
shock
generalized bleeding
PE
DIC
uterine atony
seizures

24
Q

AFE management

A

CPR
epi
fluid resuscitation
direct vasopressors
treat DIC
treat atony
treat seizures

25
Q

treat DIC

A

transfusion

26
Q

treat atony

A

oxytocin
methergine
hemabate
cytotec

27
Q

treat seizures

A

benzos

28
Q

severity of AFE is determines by

A

volume of entrainment

29
Q

AFE manifestation is due to

A

anaphylaxis and inflammation