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14 Cards in this Set

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