Mock exam 2 Flashcards
Side effects of levodopa
Orthostatic HOTN- think dopamine vasodilates to get kidney more blood
Hypokalemia from increased pee from dopamine
SSEP changes suggesting nerve injury
50% decreased in amplitude
10% increase in latency
Hemophilias and the lab they affect
A- 8- PTT
B- 9
C- 11
TURP- How much irrigation is absorbed?
20ml/min
Greatest risk factors for 30-day mortality
ASA 4
age >90
Renal impairement
ICU stay
Gastrin does what?
Stimulates pepsinogen secretion
Secretin does what?
Stimulates bile flow
S&S pancreatitis
Thrombophlebitis
Pericaridal effusion
Myocardial depression
Hypovolemia/ renal failure from bradykinin
Formula for coupling gas flow
(FGF in ml) x (I/E) / (RR) +vt
Best NMBs for cardiac patients
Roc and Vec
Atra- histamine
Panc- increases HR
Pneumoperitineum will do what?
Increase MAP from high CO2
Decrease CO
Increase ICP
Increase Aa
Pulsus parvus seen with ___
AS
Aortic stenosis
PArvus- think sick and slow- it means the A line has low amplitude
Pulsus alternans is seen with __
Systolic LV failure
Alternans means its alternating shape, coming from an incoming complete failure to squeeze
Autonomic hyperreflexia S&S
HTN brady-
Constrict below
Dilate above
LV failure
Seziures
Addisons disease needs to
ADD adrenalism
Conns disease
Hyperaldosteronism
Treatment for von willebrand
DDAVP
8 concentrate
Cryo
Samters triad
Aspirin induced respiratory disease
Can you give toradol in bronchitis?
Yes- dont give in asthmatics
I think i can educate but fucking school should!!
IV
Tracheal
Interpleural/ costal
Caudal
Epidural
Brachial plexus
Femoral
Sciatic
Subq is slowwwww
MUDPILES
GAP acidosis >14
Methanol
Uremia
DKA
Pareldehyde
Isoniziad
Lactic
Ethanol
Salicylates
HARDUP
Non gap acidosis <14
Hypoaldosteronism
Acetazolamide
Renal tubular acidosis
Diarrhea
Uterosigmoid fistula
Pancreatic fistula
Metabolic syndrome
Obesity
HTN
DM2
Pickwickian syndrome
AKA obesity hypoventilation syndrome
Terminal consequence of OSA
Peripheral nerves- A
Motor
Touch
Tone
Slow pain
Hypothyroid S&S
HOTN/ hypovolemia
aspiration
Hypothermia
How long should N2O be avoided following air surgery for Silicone, Air bubble, and Sulfur
Silicone
Air
Sulfur
What is and when is a delta wave present?
Premature upstroke of R wave
WPW
Anti vs orthdromic QRS
Anti- wide
Ortho- narrow
How to treat tetanus
Debridement of infection
Antitoxin
Intubation- nasal?
EMLA is made up of
2.5% prilocaine
2.5% lidocaine
EMLA can cause __
Left shift
Methemogolbinemia
More toxic in children
Which antigen do AB’s have?
None!
Thats why we can receive it all
Mass spectrometry
Measures anesthetic with MASS ELECTRONS
Measuring the hemiparetic limb with TOF yields what?
Falsely elevated- you think theyre reversed when they arent
Do not use
Where is CSF absorbed?
Arachnoid villa in the SSS
Where is CSF produced?
Choroid plexus in all ventricles
How does insulin decrease K?
Shifts K into liver and skeletal muscle
Triggers of sickle cell
A PhD can still get sickle cell
A PHD
Pain
Hypothermia
Acidosis
Dehydration
How to calculate a desired plasma concentration?
(Vd x kg x desired concentration)
Divided by bioavailability
Farenhiet to celsius formula
F= C x 1.8 +32
The zonas
GFR
Salt Sugar Sex
Hydrophilic opioids
Meperdine
Morphine
Dilaudid
Lipophilic opioids
Fent
Sufent
Where to measure adductor pollicus muscle TOF?
Where we do- ulnar nerve on forearm
Bier block tourniquet must stay on for _
20 minutes
“15” rule
For LMA and laparoscopics
<15 degree trend
<15 abdominal pressure
<15 minute duration
Diseases that increase MH risk
King denborogh
Central core
Minicore
What helps gout patients?
Bicarb helps excretion
Liberal fluids flush crystals
Allopurinol inhibits conversion
Colchicine reduces the inflammation
Best agents for NEC in babies
Prevent HOTN
Ketamine
Fent
What is in the renal medulla?
Bottom
Loop of henle
Collecting ducts
What is in the renal cortex?
Glomerulus
Proximal and distal tubules
Does Vt increase in pregnants?
Yes- even though its a RLD
According to poiseuille, how much will flow increase if the radius is doubles or tripled?
1- 1 (1^4)
2- 16x increase (2^4)
3- 81x increase(3^4)
M2 receptor
Bradcardia
Opposite of B2
Plantar flexion =
Plant your toes
Where is the fluid in babies?
ECF- plasma !
Proseal allows how much PPV pressure?
30
Proseal has a drain and allows for higher pressure