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COMP EXAM 16 > Key Terms > Flashcards

Key Terms Flashcards

1
Q

What is the pathophysiology of Ludwig’s angina?

A

suppurative inflammation of subq tissue in submental space , or, gangrenous cellulitis

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2
Q

What are the weight guidelines for LMA size: 3 4 5?

A

30 - 50 kg 50 - 70 kg > 70 kg

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3
Q

What fast track score bypasses the recovery room?

A

>= 12 within 10 minutes post surgery

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4
Q

What are the indications for an RSI?

A

pregnant full stomach morbid obesity reflux

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5
Q

How do you assess cardiac tamponade hemodynamically?

A

reduced diastolic filling due the the heart’s inability to overcome transmural pressures right atrial and ventricular collapse leads to decreased cardiac output and venous return

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6
Q

How do you clinically assess cardiac tamponade? (5)

A

Pulsus paradoxus (an abnormally large decrease in systolic blood pressure during inspiration– a small decrease of < 10 mmHg is normal

tachycardia and hypotension

JVD (jugular venous distension)

decreased pulse pressure

muffled heart sounds

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7
Q

What is the coagulation test for fibrinolysis?

A

D-dimer

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8
Q

How much Ca is in LR?

A

3 mEq/L

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9
Q

What is not found in LR?

A

Magnesium

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10
Q

What is BE?

A

Base excess is the acid or base that is required to return the blood pH to normal.

It represents the metabolic component of acid-base balance

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11
Q

What are the body’s buffers? (2)

A

blood

bicarbonate

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12
Q

What is the most important buffer in the extracellular fluid?

A

bicarbonate which is effective in metabolic not respiratory disturbances

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13
Q

What is an important noncarbonic buffer in the extracellular fluid?

A

hemoglobin

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14
Q

What is the compensation for respiratory alkalolsis lasting greater than 24 hours?

A

decreased 2,3 DPG metabolism

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15
Q

What are the mechanisms for the body to maintain physiologic pH?

A

buffers

respiratory compensation

renal compensation

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16
Q

What is the induction drug of choice for a closed head injury?

A

propofol, roc

17
Q

What is the recovery time for propofol?

A

2- 8 min

18
Q

What is the recovery time for Roc?

A

22 min

19
Q

What is a reasonal initial dose of epi?

A

4 mcg

20
Q

Why is indocyanine green used in TAH?

A

check patency of ureters

21
Q

What are the causes of upsloping capnogram at phase III?

A

asthma

COPD

22
Q

How do you manage an open globe injury with pseudocholinesterase deficiency?

A

No sux, roc at 1.2 mg/kg

23
Q

What are SAFE drugs?

A

propofol

remi

short acting, fast emergence

24
Q

What do you expect with a laryngeal fracture?

A

stridor

25
Q

What are discharge criteria for outpatient surgery?

A

activity

breathing

circulation

LOC

26
Q

How do you prevent the side effects of etomidate?

A

Magnesium prevents tonic clonic seizures

Fentanyl ?

COMP EXAM 16 (2 decks)

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