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10 Cards in this Set
- Front
- Back
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What is the steroid dose for adrenal supression in minor surgery?
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25 mg hydrocortisone preop or 1-2x daily dose
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What is the steroid dose for adrenal supression in moderate surgery?
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50-75 mg preop or daily dose and Q 8 hours intraop. Titrate off over 1-2 days
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What is the steroid dose for adrenal supression in major surgery?
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100 mg hydrocortisone w/in 2 hours preop, then 50 mg Q 8 and titrate down
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What is porphyria?
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An accumulation of porphyrins, intermediate products of heme production
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What is the most common form of porphyria?
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Acute intermittent
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How is acute intermittent porphyria passed on?
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Autosomal dominant
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What is the defect in porphyria?
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Lack of porphobilinogen deaminase
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What is the effect of barbiturates in patients with porphyria?
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Barbituates stimulate induction of aminolevulinic acid synthetase and porphobilogen
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What are the symptoms of porphyria?
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CNS changes, acute abd pain (d/t imbalance in autonomic innervation of the gut)
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What population is more likely to have porphyria?
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Young women
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