lung disease and anesthetic concerns

Question 1

COPD preop history two main points

Answer 1

smoking history, dyspnea

Question 2

chronic bronchitis is characterized by

Answer 2

cough, sputum production, recurrent infections. caused by smoking

Question 3

emphysema is characterized by

Answer 3

progressive dyspnea

Question 4

emphysema is caused by

Answer 4

smoking, alpha-1 antitrypisin deficiency

Question 5

asthmatic bronchitis is only partially ____

Answer 5

reversible. some degree of obstruction will always remain

Question 6

nicotine stimulates

Answer 6

sympathetic ganglia - catecholamines released from adrenal medulla - increasing HR, BP, and SVR

Question 7

cardiac affect from cigarettes persist for

Answer 7

30 min after last cig

Question 8

induction with smokers

Answer 8

pre-o2 well and avoid instrumentation of airway until deep level of anesthesia

Question 9

advise stopping smoking at least ___ prior to surgery

Answer 9

12

Question 10

cessation of > _ weeks will reduce post-op pulmonary complications

Answer 10

8

Question 11

avoid ___ releasing drugs to avoid bronchospasm

Answer 11

histamine

Question 12

histamine releasing drugs include

Answer 12

pentothal, morphine, atracurium, mivacurium, neostigmine

Question 13

asthma is characterized by

Answer 13

airway hyperactivity, bronchial wall inflammation and variable degrees of reversible airflow obstruction