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14 Cards in this Set

  • Front
  • Back
Unacceptable patient conditions for ambulatory surgery?
Unstable ASA status 3 or 4
Active substance/ETOH abuse
physchosocial difficulties
Poorly controlled seizures
Unevalulated/unmanaged obstructive sleep apnea
Uncontrolled diabetes
Current presentation of sepsis/infectious disease/isolation requirements
Expected postop pain expected to be uncontrollable by PO meds
Prior MH
Morbidly obese
Active sickle cell (<1 year)
Uncontrolled reactive airway disease
Symptoms of URTI
Elevated WBC 12-15k with left shift
Mucopurulent nasal secretions
Inflamed and reddened mucosa
Rales/congestion
febrile 38C or greater
Tonsillitis
Oropharynx viral ulcers
Allergic rhinitis mucosa?
Ashen and boggy
Ondansetron? dosing?
Selective serotonin type 3 receptor antagonist)
0.15 mg/kg IV over 2-5 minutes (4mg periop, 8mg postop)
most effective when given at the end of the operative procedure
metoclopramide? dosing?
Benzamide
0.15mg/kg in PACU id appear sedated
may cause extra pyramidal symptoms
promethazine? Dosing?
Phenothiazine/dopamine receptor antagonist
0.5mg/kg IV
0.5mg/IM strabismus repair
75ug/kg before extraoccular muscle manipulation
potential delays in recovery/extrapyramidal effects
droperidol? Dosing?
Butyrophenone/dopamine receptor antagonist
10-20 ug/kg (70kg .7-1.4 mg)
black box warning: risk of fatal arrythmias
dolasetron? Dosing?
Selective serotoin type 3 receptor antagonist
12.5mg IV 15min before end of procedure
MH susceptibility?
previous episode
prior masseter muscle rigidity
1st degree relative with episode or positive biopsy

36 vials of dantrolene on hand
airway evaluation with history of sleep apnea? [3]
nuccal girth
mallampati
redundant pharyngeal tissue
coumadin stopped _______ days before day of surgery?
4-5
MH susceptibility?
previous episode
prior masseter muscle rigidity
1st degree relative with episode or positive biopsy

36 vials of dantrolene on hand
airway evaluation with history of sleep apnea? [3]
nuccal girth
mallampati
redundant pharyngeal tissue
coumadin stopped _______ days before day of surgery?
4-5