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11 Cards in this Set
- Front
- Back
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Nagelhout Ch. 27
what is prolonged nasotracheal intbation associated with |
obstruction of the nasal sinuses, sinus infection, and fever
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where in the vertebrae does the larynx lie
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C 3 to C6
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what is the function of the epiglottis
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protect the larynx from foreign body entry
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what are the unpaired cartilages of the larynx and what is their assigned number
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1: epiglottic
2: thyroid 3: cricoid |
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what are the paired cartilges of the larynx
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4 and 5: arytenoids
6 & 7: corniculates 8 & 9: cuneiforms |
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what should preoperative evaluation of copd pt include
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determine severity of disease and identify treatments for reducing inflammation
improve secretion clearance treating underlying infection increase airway caliber |
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anesthesia management of COPD
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*susceptible to respiratoy failure
*regional may be safer than general but without going higher than T6 (risk for decreasing exspiratory reserve volume, impaired cough effort and anxiety provoking weakness) *general with IA for bronchodialtion and humdification for preventing drying of secretions *NO nitrous |
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anesthesia management of asthma
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*before surgery, review level of asthma control, medication use (esp in last 6 months) and pulmonary function
*provide medications before and after surgery *spinal or regional safer than general (higher than midthoracic decreases FRC, ERV and ability to cough *IA provide bronchodilation *set vent with longer expiratory times |
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anesthesia mgmt of pulmonary hypertension
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*vasodilators
*same considerations as those with cor pulmonale *objective is to prevent increases |
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anesthetic mgmt of cor pulmonale
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*regional safest
*volatile agents decrease PVR *keep pt well oxygenates *avoid acidosis *avoid the us of exogenous and endogenous vasoconstrictors *avoid presenting stimuli that increase sympathetic tone *avoid hypothermia |
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Drug reaction by system
Hemorrhagic cystitis |
Cyclophosphamide, ifosfamide (prevent by coadministrating with mesna)
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