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60 Cards in this Set
- Front
- Back
patient's under what age should be checked for pregnancy |
under 55 years of age, at least at Optim Orthopedics |
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Pregnancy tests in the OR check for
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HCG = human chorionic gonadotropin
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procedure for airway or circuit fire |
1. remove the ETT tube 2. stop the flow of all gases 3. Pour saline or water into the airway 4. Care for the patient, establish that there is no more burning and vent with 100% oxygen 5. examine airway burns and treat 6. keep all burned equipment for investigation |
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T/F Medication vials do not need to be entered with a new syringe or new needle ALWAYS |
False, medication vials must ALWAYS be accessed with both clean/brand new needles and syringes |
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T/F Sometimes you can use the same syringe of drugs on multiple patients |
False, you may never use more than one syringe or needle on multiple patients |
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PPE stands for |
personal protective equipment |
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units of percent |
each percent is the amount in gm per dL |
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atropine is what kind of drug |
anticholinergic, a competitive antagonist
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anticholinergics operate by |
blocking acetylcholine from its receptors |
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competitive antagonism |
molecule binds to a receptor without activating it, it blocks the mechanism. Dose dependent. |
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the effect of atropine physiologically |
Heart rate increases
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typical atropine concentration |
0.4 mg/ml |
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typical dose of atropine for brady in adults |
0.5 mg |
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robinul's other name |
glycopyrrolate |
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robinul is what type of drug |
anticholinergic |
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what are the physiological effects of robinul |
increased heart rate, decreased secretions |
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typical robinul concentration |
0.2 mg/ml |
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which works faster, robinul or atropine? |
the literature says atropine at times, but clinically I have observed robinul to be faster |
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what drug has the most variable effect on patients, that I have observed, clinically |
rocuronium |
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first sign of malignant hyperthermia is usually |
increased end-tidal CO2 |
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hydralazine is what type of drug |
a direct acting smooth muscle dilator that primarily acts on arteries and arterioles. It requires functional endothelium to produce Nitric oxide, so it only works in vivo, not in vitro. It binds to gated potassium channels and causes potassium to exit/efflux, which hyper polarizes the cell. This prevents calcium mediated vasoconstriction. |
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hydralazine is usually used as |
a combination drug, especially with labetalol and a diuretic. Hydralazine alone is a poor primary antihypertensive because it elicits the baroreceptor reflex. |
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Hydralazine's other name |
Apresoline |
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what aspect of cardiac output does hydralazine effect?
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PVR/afterload. Both are decreased!
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Hydralazine's normal concentration |
20 mg |
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Hydralazine increments |
5 mg |
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hydralazine excretion |
renal |
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parenteral means |
administered by another means outside of the alimentary canal. Usually intravenous. |
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hydralazine onset |
10-20 minutes |
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what is the only way to decrease the burn of propofol on injection? |
dilute it! 5 ml of 1% propofol with 5 ml of lidocaine appears to be effective |
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Any time you suspect laryngospasm with an LMA, mask, or upon extubation |
apply positive pressure, if you pass the air into the patient you know they aren't spasming. |
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First drug to give when patient bucks/desats on LMA |
Succ, 20 mg or so |
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drug you give for carcinoid tumors
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octreotide
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narcan comes as |
0.4 mg per ml |
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give narcan in this increment |
0.04 mg per ml |
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which anesthetic agent can cause grand mal seizure like activity (no idea if it's a seizure) |
etomidate |
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most histamine-releasing muscle relaxant |
atracurium |
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what drug and what dose(s) do you give for PSVT |
adenosine, 6 then 12 mg |
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max dose of lidocaine with epi |
7 mg |
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any time the airway is burned |
intubate the patient |
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the cuff on a ped ETT is ___ volume and ___ pressure |
hi volume, low pressure |
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can tape on the face make a guy bleed a lot and cause trauma? What makes this worse |
yep, esp if they have petechiae or rosacea |
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hypoxia after nitrous use... |
atelactesis could be the cause |
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when evaluating patient ventilation NEVER trust |
chest rise. Chest rise is seen in obstruction and laryngospasm |
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if you extubate awake with ANYTHING then always have |
a biteblock |
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no toradol for patient's with |
asthma or kidney probs |
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when giving toradol, wait till |
they are closed, to decrease oozing |
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is nitrous safe for malignant hyperthermia? |
yes |
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never say this term in front of a patient |
malignant |
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when should you give DES as a gas, in your experience |
when the patient is paralyzed, other wise use it after Sevo to smooth things out. Switch to des after patient is cut |
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Never give lidocaine after a |
block |
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if the patient coughs on a tube, the first thing you do is |
turn the vent off |
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tourniquet release causes what on SpO2 |
decrease sat reading |
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when you really want to get gas on quick, turn up this flow |
Nitrous. #secondgaseffect |
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greater than this age, give IV |
10 yo |
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tourniquet pain typically presents at |
30-45 minutes |
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always check this before giving a Beta Blocker |
HR |
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to fight scavenging from deflating the bag on older machines (dragers) |
close the APL valve |
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if the patient is too light, pain can cause this complication |
laryngospasm |
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tx for atelactesis |
Positive pressure breaths! |