ITE 2021 Flashcards

1
Q

Haldane Effect

A

Process of oxygen binding to hemoglobin and displacing CO2, resulting in a downward shift of the CO2 dissociation curve & facilitating removal of CO2 from the body

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2
Q

Bohr Effect

A

Process of CO2 binding to hemoglobin and displacing O2, resulting in a rightward shift of the oxygen-hemoglobin dissociation curve

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3
Q

Boyle’s Law

A

Pressure of a gas is inversely proportional to its volume at a constant temperature

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4
Q

Dalton’s Law

A

Total pressure of a non-reacting gas mixture is equal to the sum of the partial pressures of the individual gases in the mixture

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5
Q

Vapor pressure, B:G of SEVOFLURANE

A

160

0.69

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6
Q

Vapor pressure, B:G of DESFLURANE

A

681

0.42

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7
Q

Vapor pressure, B:G of ISOFLURANE

A

240

1.4

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8
Q

Vapor pressure, B:G of HALOTHANE

A

243

2.5

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9
Q

Vapor pressure, B:G of N2O

A

38,770

0.47

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10
Q

Vapor pressure, B:G of ENFLURANE

A

175

1.9

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11
Q

MELD score

A

Bilirubin
INR
Creatinine

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12
Q

Normal plasma electrolyte composition

A
Na 140
K 5
Cl 100
Ca 4.4
Mg 2
Bicarb 24
Lactate 1
Osmolarity 285
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13
Q

0.9% NaCl

A

Na 154
Cl 154
Osmolarity 308

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14
Q

1.8% NaCl

A

Na 308
Cl 308
Osmolarity 616

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15
Q

Lactated Ringer’s

A
Na 130
K 4
Cl 109
Ca 3
Lactate 28
Osmolarity 273
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16
Q

Plasmalyte/Normosol

A
Na 140
K 5
Cl 98
Mg 3
Osmolarity 294
17
Q

Hartmann Solution

A
Na 131
K 5
Cl 111
Ca 4
Lactate 29
Osmolarity 275
18
Q

5% Dextrose

A

Glucose 50

Osmolarity 252

19
Q

5% Dextrose/0.45% NaCl

A

Na 77
Cl 77
Glucose 50
Osmolarity 406

20
Q

5% Dextrose/LR

A
Na 130
K 4
Cl 109
Ca 3
Lactate 0
Glucose 50
Osmolarity 525
21
Q

Hydroxyethyl Starch 6%

A

Na 154
Cl 154
Osmolarity 309

22
Q

Acetazolamide

A

Alkalinizes urine, resulting in decreased serum bicarb, = K+ and Na+, BUT increased serum H+ and Cl-

23
Q

Butorphanol

A

Mixed mu opioid receptor agonist-antagonist (good for treating pain & post-neuraxial pruritis)
AND kappa opioid receptor partial agonist (good for treating post-op shivering)

24
Q

Most common valvulopathy associated with RA

A

Mitral valve disease (specifically mitral regurgitation)

25
Which inhaled anesthetic potentiates a neuromuscular blockade the MOST?
Desflurane > sevo > iso > halothane > N2O/barbs/opioid > propofol Basically: Greatest effect = LEAST potent (Iso is the most potent = smallest MAC)
26
Echinacea
Activation of cell-mediated immunity; chronic immunosuppression
27
Ephedra
Ventricular arrhythmias; endogenous catecholamine depletion
28
Garlic
Bleeding via inhibition of platelet aggregation
29
Ginger
Bleeding via inhibition of platelet aggregation
30
Gingko
Bleeding via inhibition of platelet aggregation
31
Ginseng
Bleeding via inhibition of platelet aggregation; HYPOGLYCEMIA
32
Kava
Increased sedation
33
Saw Palmetto
Bleeding via cyclooxygenase inhibition
34
St. John's Wort
CYP450 induction; delayed emergence
35
Valerian Root
Increased sedation; possible increased MAC requirement