Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
39 Cards in this Set
- Front
- Back
|
Pack/yr formula?
|
PPD X yrs. smoked=pack/yr
2ppd x 30yrs = 60 pack/yr |
|
|
After smoking, when does mucus hypersecretion subside?
|
1-2 weeks
|
|
|
Hepatic enzyme induction of smoking subsides after?
|
6-8 weeks
|
|
|
Smokers are at increased risk for arterial thrombus because?
|
Hemoconcentrated
|
|
|
What kind of coagulopathic issues can smokers have?
|
Decreased platelet survival time and increased platelet aggregation. (Because platelets are from hemolyzed cells)
|
|
|
What is the only benefit of a smoker with anesthesia?
|
Less Nausea!
|
|
|
What kind of cardiac effects does nicotine have?
|
Lowered threshold for v-fib, higher HR, higher BP
|
|
|
What is the half-life of nicotine?
|
30-60 minutes
|
|
|
How long does is take for response to nicotine to abate?
|
20-30 minutes
|
|
|
What other effects does nicotine have?
|
Lowers o2 delivery and raises o2 consumption.
|
|
|
What is Carbon Monoxide + Hemoglobin?
|
Carboxyhemoglobin
|
|
|
What kind of compensatory shift does Carboxyhemoglobin have?
|
Shift to the left.
|
|
|
Lowers o2 content
|
Carboxyhemoglobin
|
|
|
Lowers time of onset of angina
|
Carboxyhemoglobin
|
|
|
After 48 hours of smoking cessation these levels go back to normal in hematology
|
Carboxyhemoglobin
|
|
|
How long after smoking does ciliary function get better?
|
Days
|
|
|
Post op resp. morbidity lowers from smoking after how long of cessation?
|
4-6 weeks
|
|
|
Hepatic enzyme production slows down after how long of smoking cessation?
|
6-8 weeks
|
|
|
A sick cholectomy patient has what type of attributes?
|
Liver disease symptoms evidence by decreased drug metabolism times.
|
|
|
What ethnicities are at risk for anemia/leukemia?
|
Latino, AA, Mediterranean
|
|
|
How much NPH do diabetics get on surgery day?
|
No more than 1/2 of normal dose.
|
|
|
How long into a case should you normally wait to take FSBS?
|
2 hours
|
|
|
What is goal blood glucose range intra-operatively?
|
100-250 mg/dl
|
|
|
What are some things to look for in a pt undergoing general anesthesia with hyperthyroidism?
|
Thyroid storm 6-18 hours post-op.
Tachycardia, hyperthermia, a-fib - cardiac decompensation. |
|
|
Hyperthyroidism pts are more sensitive to what type of drugs?
|
Catecholamines - probably many more as well.
|
|
|
Esophageal stethoscope and NG tubes should be avoided in a patient with?
|
Esophageal Varices
|
|
|
foot drop related to anesthesia is indicative of what?
|
nerve injury
|
|
|
temporomandibular mobility is another name for what?
|
Ability to sublux the jaw
|
|
|
Where do you listen for aortic valve and what do you listen for there?
|
2nd intercostal space R sternal border. S2
|
|
|
Where do you listen for pulmonic heart sounds and what do you listen for there?
|
2nd intercostal space L sternal border. S2
|
|
|
Where is Erb's point?
|
3rd intercostal space L sternal border.
|
|
|
Where do you listen to tricuspid?
|
4th intercostal space L sternal border
|
|
|
Where do you listen to bicuspid?
|
4th intercostal space L sternal border.
|
|
|
Where do you hear S3 and S4 sounds normally?
|
Tricuspid area
|
|
|
Where do you hear S1, S3, and S4 sounds normally?
|
Bicuspid area
|
|
|
S3
|
ken-tuck-ee
|
|
|
S4
|
Tenn-e-see
|
|
|
What is the most reliable predictor of health issues in a pre-op patient?
|
H & P
|
|
|
Overall risk of mortality from anesthesia?
|
<1%
|
