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