Exam 3: Key Terms & Objectives Flashcards
What is one thing you should never do when transporting a patient with a chest tube?
clamp the tube……also, you SHOULD disconnect from suction
What type of ventilation will optimize lung function in COPD patients?
Controlled mechanical ventilation
-May not tolerate spontaneous ventilation without assistance
define bronchiectasis
Loss of airway wall integrity
–Destruction and widening of large airways
anesthetic concerns with ALS
High aspiration risk Abnormal PFTs No succ Sensitive to nondepolarizing agents Regional if possible
What are the normal values for lung compliance, thoracic compliance, and total compliance?
CL= 200 mL/cmH2O CT= 200 mL/cmH2O CLT= 100 mL/cmH2O**
What are the six risk factors that predispose patients to post operative pulmonary dysfunction?
- Pre-existing pulmonary disease***
- Thoracic or upper abdominal surgery
- Smoking (major factor for developing COPD)
- Obesity
- Age > 60
- Prolonged general anesthesia
Which induction agent depresses airway reflexes effectively?
propofol
exacerbating factors of asthma
Allergens Pharmacologic agents Infections Exercise Emotional stress
differences between myasthenia gravis and myasthenia syndrome
MG: Worse with activity
- Symptoms move from the top down
- Very sensitive to non-depolarizer’s
- Treated with anti-cholinesterase drugs
MS: Improves with activity
- Symptoms start in the legs and move up
- Sensitive to both depolarizer’s and non-depolarizer’s
- Anti-cholinesterase drugs have no benefit
What are some of the exacerbating factors of myasthenia gravis?
Vaccinations Infection Stress Pregnancy Increased temperature
What type of respiratory rate is most efficient for COPD patients?
Slow respiratory rate provide sufficient time for complete exhalation
