Test #1 REVIEW ******* Flashcards
Elderly pts display a lower dose requirement for barbs, opioid agonists, and benzo’s
True/ false
true
is Asthma associated with increased perioperative complicaions and death in the elderly?
no!!
** of the following conditions which one is NOT usually associated with increased perioperative complications and death in the elderly is:
A) ASTHMA
the total lung compacity in the elderly compared to that of a 20 y/o is what?
unchanged or slight decreased of 10%
****Comparing Pulmonary lung function in the elderly to that of a 20 y/o, which state ment is correct??
A) total lung capacity unchanged or slight decrease of 10%
Pharmacokinetic qualities of the elderly include what in r/t hepatic function
Decreased hepatic function
***Pharmacokinetic qualities of the elderly include what?
A) decreased hepatic function
at the age of 60 the work of breathing for the elderly pt is ____% more?
30%
*** the work of breathing in the elderly pt is associated with?
A) 30% more effort at age 60
The baroreceptor reflex is unchanged with age?
true/false
false
**** Physiologicall, which statement is FALSE concerning the aged patient?
A) the baroreceptor reflex in unchanged with age
there is a decreased closing capacity with aging? true/false?
false
******* Resiratory changes associated with againg include all of the following except?
A) Decreased closing capacity
CO decreasess by 1% per year beyond the age 30. True/false?
true
***** which statement is correct with regard to CO in the elderly?
A) Decreases 1% per year beyond age 30
Diminished Cardiac reserve in many elderly patients may be manifested as exaggerated drops in blood pressure during induction of general anesthesia. True/false
True
Many elderly pts experience varying degrees of acute confusion state, delerium, r cognitive dysfunction postoperatively. True/False
True
The brain achieves its maximal weight at age what?
30
The pulm function in the aged compared to the 20 y/o has a total lung capacity that is reduced by ______%
10%
**** Comparing pulmonary function in the aged to that in a 20 y/o, the correct response is?
A) total lung capacity is reduced by 10%
the elimination half-life of pancuronium is similar to that of a 30 y/o? true/false?
false
*** which statement is NOT correct regarding the aged patient?
A) the elimination half-life of pancuronium is similar to that of a 30 y/o
The elimination half-life of midazolam in the geriatric pt is twice that of the young adult male. true/false?
True
*** the elimination half-life of midazolam in the geriatric pt is?
A) twice that of the young adult male
the narcotic of choice for intraoperative use in the geriatric patient is what?
Fentanyl
In the absence of disease, resting systolic cardiac function appears to be preserved even in octogenarians. true/false?
True
Initial requirements for NDMR in the geriatric pt are the same as the younger adult. true/false?
True
**Initial requirements for NDMR in the geriatric pt are:
A) the same as the younger adult
Which formula below is used to calculate IBW of a female?
Height (cm) - 105
Obesity is identified as BMI greater than or equal to what?
30 kg/m^2
What is the incidence of obesity among adults in the US?
30%
it is extremly important to assess your obese pt prior to sx for a family history of cancer. True/False
false!!
**** when assessing your obese pt prior to surgery, all of the following are extremly important EXCEPT:
A) family history of cancer
The safest position to induce anesthesia in the obese pt is supine (completely flat). True/False
False
Pickwician sysndrome if associated with with decreased O2 consumption. True/False?
False
*****Pickwician Syndrome is associated with all of the following except:
A) decreased 02 consumption
The obese pt should be extubated when?
A) all of the above must occur
(basically I don’t have the answers but of couse Awake, 5 sec head lift, 4/4 TOF, follows commands, trying to rip the tube out, TV at baseline, etc)
LMA mask airways are absolutly contraindicated in obese pt’s. True/False
False
