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Question 1

What are the anesthetic considerations for pts who are on ACEi and ARBS

Answer 1

• they will have blunted responses to the two 1st line antihypertensive agents (i.e. phenylephrine and ephedrine)
• vasopressin works better

Question 2

What is the antihypotentsive agent of choice if pt on ACEi and ARBs

Answer 2

Vasopressin

Question 3

What are the risk factors for PONV

Answer 3

• female gender ==>strongest pt predictor
• hx of PONV or motion sickness
• Non smoking status
• duration under volatile anesthetics
• perioperative opioid use
• use of nitrous oxide
• type of surgical procedure
  
  • abdominal procedures
  • gyneacologic
  • cholecystectomies

Question 4

What is the most common complication of arterial lines

Answer 4

Hematoma

Question 5

What medication are continued perioperatively

Answer 5

Continue the following
- beta blocker
- calcium channel blocker
- diuretic
- clonidine
- hydralazine