Quiz 1 Flashcards

1
Q

Adipose tissue considered an _______

A

organ

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2
Q

BMI calculations

A

Weight(kg)/height(m2)

(Weight[lbs}/Height[in2]) X 703

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3
Q

BMI class (ASA)

A
25-29.9 	Overweight
30-34.9	Obese Class I
35-39.9	Obese Class II 
40-44.9	Obese Class III/Morbidly Extreme Obese
>45	Obese Class IV/Severe Obesity
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4
Q

Lean Body Weight (LBW)

A

IBW x 1.3

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5
Q

Ideal Body Weight (IBW)

A

Broca’s Index

  • Male = Height(cm) – 100
  • Female = Height(cm) – 105
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6
Q

look at slide 7 (obesity)

A

.

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7
Q

Increased Cardiac Output of ____ for each kg of fat

A

0.1 L/min

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8
Q

why increased risk htn in obesity

A
  • Increased blood viscosity
  • hyperinsulinemia
  • increased mineralocorticoids
  • sodium reabsorption
  • compression of kidneys
  • impaired sodium excretion
  • RAA activation
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9
Q

In obesity, what in lungs decreased? Increased?

A

Decreased:

  • FRC
  • ERV
  • VC
  • TLC

Increased:
Dead space

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10
Q

Gold standard test for OSA is

A

polysomnography (PSG)

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11
Q

look at slide 24 (obesity)

A

.

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12
Q

Obese changes in pharmacologic measures

A

Increased:

  • Vd
  • blood volume
  • CO

Decreased:
-Total body water

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13
Q

Drugs IBW vs TBW. Examples of TBW?

A

IBW - low lipophilicity
TBW - high lipophilicity (most of the time)

(digoxin, remifentanil, procainamide)

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14
Q

propofol dosing

A

Induction - LBW

Maintenance - TBW

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15
Q

Succinylcholine dosing

A

TBW

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16
Q

NDNMB dosing

A

IBW

17
Q

Fentanyl/sufentanyl

A

Loading - TBW

Maintenance - LBW

18
Q

Remifentanyl

A

IBW

19
Q

look at slide 34 (obesity)

A

.

20
Q

Look at slide 2 (thermal injury)

A

.

21
Q

major burn criteria (4)

A
  • 2nd degree >10% for adults, >20% extremes of age
  • 3rd degree >10%
  • Electrical Burn*
  • One complicated with inhalation
22
Q

Mortality estimate for burns (2)

A
  • Age + TBSA% = (>115 mortality is >80%)

- Doubled if inhalation injury

23
Q

Look at slide 7-8 (thermal injury)

A

.

24
Q

look at slide 14 (thermal injury)

A

.

25
Q

Hypermetabolic/Hyperhemodynamic Phase of burns

A

Usually after 48 hours

Manifestations:

  • Hyperthermia
  • Tachypnea
  • Tachycardia
  • Increased serum catecholamines
  • Increased O2 consumption
  • Increased Catabolism
  • Increased basal metabolic rate
26
Q

look at slide 20-21 (thermal injury)

A

.

27
Q

Ventilation can increase from __ L/min to __ L/min in burns

A

6

40

28
Q

_______ mL EBL for each 1% debridement

A

200-400