Prism - General Medicine

Question 1

A patient is having a fever in response to anesthetic during surgery, what is this known as and what is the cause?

Answer 1

Inhalation of general anesthetics (Halothane) can cause what is known as Malignant Hyperthermia.

Is also seen when a combination of muscle relaxants are used.

Occurs in 1/12,000 pediatric anesthetics.

requesteration of calcium back into the sarcoplasmic reticulum does not occur.

Question 2

What is the treatment of choice for malignant hyperthermia?

What are the signs?

Answer 2

Dantrolene!! 1mg/kg rapid push.
Hyperventalate, correct the acidosis, cool the patient.

Fever with increased body tnmperature, metabolic and respiratory acidosis, and Hyperkalemia.

Question 3

What is considered a normal temperature in F?

Answer 3

97.7-99.5

Question 4

What is considered a normal temeprature in C?

Answer 4

36.5-37.4

Question 5

What body temp post-op is considered significant?

Answer 5

Body temp >100.4

Question 6

What is postoperative Heat pyrexia?

Answer 6

Occurs during surgery and up to 1 hour post-op

Caused by trauma of the procedure causing inflammation.

Question 7

What are the 5 causes of post op fever?

What time period would you see each?

Answer 7

Wind Atelectasis 1-2
Water UTI 2-3
Wound Infection 3-7
Walking DVT 5-7
Wonder Drugs >7 days

Question 8

What are the proper progression of image orders for pulmonary embolism?

Answer 8

D-dimer > Venogram > V/Q scan + CXR