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39 Cards in this Set

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What are the categories of opthalmic agents?

Enzymes, irrigating solutions, Viscoelastic agents, miotics, mydriatics & cycloplegics , ointments & lubricants, Anesthetics, antiglaucoma, anti-inflammatory agents, dyes

(Enzymes) Wydase:

Increase rate& extent of anesthestic diffusion through tissue through nerve block

Irrigating Solutions?

Balanced salt solutions (Bss): Cleanse operative site, keep cornea moist, 250-500ml bottles

Viscoelastics Agents?

*Jelly like substances


* Inject into ant. chamber during cataract extraction


*Protect tissuse & creat sub, for vitreous humor


* Healon,viscoat, Accucoat

Miotics?

Contrict pupils (miosis): miochol, Miostat, Pilocarpine- topical


* Reduce IOP


* Laser, glaucoma, lensereimplannation

Mydriatics/cyloplegies?

*Dilate Pupil


*Paralytic agent

Ointments?

Antibiotics/steroid to bradex

Whats the anatomy of the eye

is a complex sense organ that recives visual stimuli and transmit signals the optic nerve to the brain for interpreation

What are miotics?

Are medications that constrict the pupil by stimulating the sphincter muscle of the iris

What are both mydriatics and cyclopegics and what they do?

Paralytic agents used to dilate the pupil prior to opthalmoscopy

What do (OVD) stand for?

Ophthalmic viscosurgical device

What do Ophthalmic viscosurgical device (OVD) do?

is being used for viscoelastic agents because they are no longer considered as only medications used to maintain space and coat ocular tissues

Alpha - chymotrypsin is a ?

Proteolytic enzyme

Glaucoma is a ?

Term that referring to increased intracular pressure

Lubricants(duratears,lacrilube)?

Protect cornea from dry and damage eye

Anesthestics

* Topical :teracaine drops


*Injectable: lidocaine, sensorcaine

Regional anesthestic?

Retrobullbar block

Sensory motor block

inject into optic nerve

Dyes?

Color/mark tissue, abnormalities of cornea


*Fl

Fluorescin sodium

Corneal abrasion

Anti-inflammatory agents

Betamethasone, dexamethasone

What is the value of females and males blood physiology?

Females:12-16g/100ml


males: 14-18g/100ml

Hemoglobin

Erythrocytes contain hemoglobin, that transports o2 and Co2 between lungs and cells

Whats the hematocrit % of females and males?

Females: 37%-47%


Males: 40%-54%

Indications for blood replacement:

Hypovolemia: circulatory shock due to trauma and vascular procedures

Wb-

Indicattioned only in cases in acute massive blood loss

Pack RBC

Along with synethic volume expander, as effective as whole blood and less reaction

Plasma

Clotting factors related needed

Platelets

Large amts of donor blood has been used

Cryoprecipitate

Clotting factors for hemophilla

Autologus donation

Elective surgey- patient donates own blood usually 2 units

Autotransfusion

Collecting processing and return of patients own blood

What are 3 blood substitutes?

Albumin, dextran, heastarch

What are the procedures for blood replacement

*Type and cross match the patient blood,


*ID(wrist, requisition slip)


*Both licensed personal circulator (RN) and anesthia provider- nurse and or anestheiology (MD)

What are the 2 major solutes?

Electrolytes and non electroytes

Electrolyes: 3 purposes :

3 purposes : hemostasis, controlling colume of body H2o and maintaining acid bases balance

What are the 3 objectives of IV Fluids (Parenteral fluid therapy) :

*Maintain daily fluid replacements


*Restore previous losses


*Replace current losses

If there is to much sodium what is it called ?

Hypernatremia

If there is too little sodium what is it called ?

Hyponatremia