Patient Factors (Diseases) Flashcards
Two ways to minimize anesthetic risk for patients through identifying trauma/risk factors
- MDB
- Chest radiographs
How can you decrease intracranial pressure for CNS disease/ seizure disorders
Hyperventilation: decrease end tidal CO2 with a ventilator
Two agents to stabilize cardiovascular anesthetic problems
- Non depressive
- Non arrhythmogenic
Fluid caution is critical in cardiovascular anesthetic factors. If you don’t prevent fluid overload, what three things will you see
- Tachypnea
- Lung sounds
- Nasal discharge
Five cardiovascular conditions that contribute to anesthetic problems
- Anemia
- Shock
- Cardiomyopathy
- CHF
- Heartworm
Respiratory Diseases/Conditions including:
Effusions
Diaphragmatic Hernia
Pneumothorax
Contusions
Tracheal Collapse
Pulmonary Edema
put patients at risk for anesthesia problems. What 3 things can you do for these patients to decrease their chance of complications?
- Stabilize First
- Avoid Nitrous Oxide (diffuses into hollow spaces)
- Ventilation 8-20 rpm at 10-20 cm H2O
Hepatic Disease affects the following functions in your patients:
1. Drug Metabolism
2. Protein Synthesis
3. Clotting Factors
4. Carbohydrate Metabolism
These factors put patients at risk for anesthesia problems. What precautions can be taken to decrease their chance of complications?
Be cautious with drugs that are metabolized by the liver.
Renal perfusion is critical particularly in patients with renal disease. What should be monitored to ensure the kidneys receive adequate perfusion?
Blood Pressure (WATCH FOR HYPOTENSION)
It is important to evaluate renal function tests before anesthesia including (3)
BUN
Creatinine
Specific Gravity
In the case of Urinary Obstruction, a patient should be monitored for _____________________ and ________________ effects.
Hyperkalemia
and Cardiac Effects