Test Q's Flashcards
You find a small lipoma on your pt. You are working at a small aid station. What can you do?
You can remove a small lipoma
- be careful they can be icebergs
- can be vascular
3-0 vs 2-0?
0.001 vs 0.01
3-0 is smaller than 2-0
2 is rope (chest tubes)
High spine injury can lead to
PE 2/2 immobilization
Spinal vs epidural anesthesia where does the anesthetic go?
Spinal (suparachnoid block) - into the subarachnoid space (CSF)
Epidural - into the epidural space
Spinal vs epidural anesthesia who administers?
Spinal - anesthesiology service
Epidural - can be don by others
Spinal vs epidural anesthesia uses?
Spinal - lower abd, lower extremity, GU and GYN procedures
Epidural - rib fractures
Spinal vs epidural anesthesia volume of anesthesia?
Spinal - small amount of fluid
Epidural - continuous drip
Spinal vs epidural anesthesia each block?
Spinal - sympathetic, sensory AND motor
Epidural - sensory BUT NOT motor
Post op pt who is oliguric or anuric (MC complication of central nerve block)
You find >1L of fluid in the bladder, what do they need?
Foley catheter
- they DO NOT need superpubic or a diuretic
Reversal agents
Narcotic:
Benzodiazepine:
Narcotic: naloxone
Benzo: flumazenil
Be able to differentiate
- Pulmonary edema
- atalectisis
- ARDS
Pulmonary edema
- volume overload (CHF etc)
ARDS
- interstitial fluid
- doesnt respond to diuretics
- must intubate
Atalectisis
- collapsed alveoli from not coughing
Presentation of fat emboli vs pulmonary emboli
Fat
- 6-24hrs pst injury
- petechiae
- normal D dimer
Pulmonary embolus
- time: whenever (prob DVT)
- pos D dimer
- verchow’s triad (high spine inj)
Pt was in a car/motorcycle crash not wearing a helmet. Suffered a high spinal injury. What is the concern?
They can’t move so they get a PE
- stasis
What are the MC causes of post operative oliguria?
BPH
Dehydration
Post operative oliguria with BPH as the cause. What is the tx?
1st thing to try is to cannulate the bladder
- NOT SUPRAPUBIC DRAIN