Hall Ch6 Flashcards
Normal tracheal capillary arteriolar pressure is
25-35 mmHg
You should wait how many hrs after last dose of BID dosing of lovenox before giving neuraxial anesthesia?
24 hrs
Fluoride toxicity anesthesia most closely resembles what type of renal failure
Nephrogenic diabetes insipidus
Best prophylaxis against deep vein thrombosis
Early ambulation
MCC of postop hypoxemia
V/Q mismatch
Symptoms of hypocalcemia usually occur how many hours after inadvertent resection of parathyroid glands?
24-72 hrs
Damage to which nerve leads to wrist drop
Radial n.
MCC of bronchiectasis
Recurrent bronchial infections
Treatment of acute dystonic reaction following administration of an anti-dopaminergic drug
Anti-cholinergic drug that crosses blood brain barrier like diphenhydramine or benztropine
Nerve most frequently injured at antecubital fossa by extravasation of IV
Median n.
Onset of delirium tremens usually occurs how long after alcohol abstinence
2-4 days
Why is postop mechanical ventilation a relative contraindication for tracheal resection?
Risk of wound dehiscence because of positive airway pressure
Average 1 yr old weighs how much?
10 kg, triple the birthweight.
From age 1-6, children gain how much kg per yr?
2 kg
From age 6-10, children gain how much kg per yr?
3 kg
Acute threshold changes of a pacemaker are almost always associated with what electrolyte imbalance
Potassium
First signs of cerebral ischemia appear on EEG when cerebral blood flow (CBF) falls below what value?
22 mL/100 g/min
EEG becomes isoelectric when CBF falls to what value?
15 mL/ 100 g / min
Irreversible membrane damage and cellular death occur when CBF falls to what value?
6 mL / 100 g / min
Duration of action of anticholinesterase drugs from fast to slow
Edrophonium < neostigmine < pyridostigmine
Glycopyrrolate or atropine has longer duration of action?
Glycopyrrolate
Which partition coefficient is most closely associate with minimum alveolar concentration?
Oil/gas partition coefficient
Succinylcholine is hydrolyzed by?
Pseudocholinesterase
Conditions associated with increased DLCO (Diffusing capacity of carbon monoxide)
Obesity, asthma, exercise, supine position, left to right shunt, polycythemia
Most reliable early sign of MH
Increased end expiratory CO2 (PECO2)
Components of PADSS (post anesthetic discharge scoring system)
vital signs, ambulation, pain, nausea/vomiting, surgical bleeding
Does history of uncomplicated general anesthesia reassure that a malignant hyperthermia suspect can be ruled out?
No, it is not uncommon for MH-susceptible patients to not trigger initially and then develop fulminant MH with a subsequent anesthetic
Mechanism of action for montelukast (singulair)
Leukotriene receptor antagonist. Leukotrienes are inflammatory mediators.
Trismus after giving succinylcholine signals onset of MH in what percentage of patients?
Less than 50%
Head flexion can advance the ETT by how much?
1.9 cm toward carina
How many days after gas bubble is injected into vitreous for retinal detachment can nitrous oxide be used?
10 days
Myocardial oxygen demand
HR
wall tension
Contractility
Basal metabolic