PERIOPERATIVE Flashcards

1
Q

patient is hypotensive and brady in procedural sweet

A

Atropine 1 mg

IV fluids

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2
Q

sudden decreasing end tidal CO2

Differential diagnosis

Management

A

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

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3
Q

Work-up low urine output

A

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
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4
Q

Associated acute abdomine post CABG

A

A calculus cholecystitis

Pancreatitis

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5
Q

What are adjunct of measures to take with a Jehovah’s Witness

A

Iron

Epo

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6
Q

Maximum potassium replacement in acute setting

A

20 meq per hour

If on the cardiac monitor

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7
Q

If not responding to potassium replacement what should you give them

A

Magnesium!

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