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14 Cards in this Set
- Front
- Back
Brain lesion with slow onset
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supratentorial
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Loading dose of dilantin
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10-15 mg/kg at 50 mg/mL
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Limits of giving hypertonic saline
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<130
>160 |
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Chemical mediators released by reperfusion
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thromboxane
prostaglandin leukotrienes |
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Limiting factor of mannitol use
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must have intact BBB
|
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How does lasix work in brain injury
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blocks Cl- pump and reduces resetting of fluid balance
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When should you use steroids
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in TSI
not TBI |
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What don't you give a lethargic patient pre-op
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anti-anxiety meds
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How do you control HTN in a supratentorial patient during induction, maintenance, and emergence
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esmolol
esmolol and nitro nifedipine |
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When can you not use succs with high ICP
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Subarachnoid hemorrhage
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Pressor for cerebral vassospasm
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dopamine
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EKG changes with SAH or aneurysm rupture
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proloned QT
canyon waves |
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Three methods of neuroprotection before aneurysm clipping
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barbs
gas at 2 MAC hypothermia (mild) |
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What anesthesia strategy should be employed for aneurysms
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Hypervolemia
hypertension hemodilution |