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28 Cards in this Set
- Front
- Back
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Strongest predictor of PPC
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surgical site- abdominal
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Pulmonary side effects of anesthesia
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↓ FRC 15-20%
↓ mucociliary transport ↑ alveolar dead space ↑ intrapulmonary shunting (atelectasis) Absorption atelectasis Central respiratory depression |
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Most common pulmonary risk after anesthesia
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Atelectasis
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What # of pack years is considered a high risk
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40 pack years
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Type of resp. disorder in which everything is decreased
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restrictive
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How many weeks of smoking cessation will decrease post op complications
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4-6 weeks
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Resp disorder characterized by hypoxia, hypercarbia, increased PA pressures and pulmonary HTN
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Chronic bronchitis
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2 reasons to cancel any nonemergent pediatric case
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fever
wheezing |
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How long does it take for the airway to return to normal after an infection
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4-6 weeks
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Three signs that an asthmatic is on verge of CV collapse
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Pulsus paradoxus
hypoxia hypercarbia |
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FEV1/FVC ratio that indicates moderate to severe asthma
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< 50%
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What is one SE of theophylline that worries anesthetists
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increased catecholamine release
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Normal theophylline levels
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10-20 ug/mL
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What must you administer to patients who have been on steroid therapy in the past two weeks
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hydrocortisone 100 mg IV q 8h X 2
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Induction drug that is contraindicated if a patient is on theophylline
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ketamine
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COPD vent settings
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Larger TV
Longer exhalation times higher flows (short I but high PP) |
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Best preventative of post-op pulm complications
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Get the patient OOB
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What are common signs of bronchospasm under anesthesia
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wheezing
increased peak pressures decreased exhaled volumes altered capnograph |
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Most common PACU problem
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upper airway obstruction
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Treatment for laryngospasm
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continuous PP > 20 cm H2O to break
Sch 10-20 mg |
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Hypoxemia and hypercarbia will do what to vasomotor tone
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increase
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Makes blood vessels more sensitive to catecholamines
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hypothermia
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Early signs of hypercarbia
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HTN and tachycardia
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Peaked T waves
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hyperkalemia
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Peaked P waves
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hypokalemia
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ST elevation
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infarction
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ST depression
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ischemia
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What should you always assume when a patient gets delerium
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hypoxemia
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