PERIOPERATIVE Flashcards
patient is hypotensive and brady in procedural sweet
Atropine 1 mg
IV fluids
sudden decreasing end tidal CO2
Differential diagnosis
Management
Air embolus
CO2 embolus - careful, paradox this year to in the right atrium blocks blood from the gas exchange in the lung.
Left lateral decubitus position
Cardiac compression helps evacuate CO2 from heart
Work-up low urine output
Pre renal:
Hypovolume
third space
Cardiac failure
Renal: ATN meds: Gen, vanc, toradol, ACE inhibitor, contrast Emboli
Post renal: Foley cut URETER prostate hypertrophy bladder
Associated acute abdomine post CABG
A calculus cholecystitis
Pancreatitis
What are adjunct of measures to take with a Jehovah’s Witness
Iron
Epo
Maximum potassium replacement in acute setting
20 meq per hour
If on the cardiac monitor
If not responding to potassium replacement what should you give them
Magnesium!