How much CO2 is produced per minute?
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200 ml/min
or 2.4-3.2 ml/kg/min
What drug can be given to a premie to prevent post-op apnea?
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Caffeine. Dose is 10 mg/kg, can last for a couple of days. Caffeine is a
respiratory stimulant.
List 10 anesthetic concerns associated with rheumatoid arthritis
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1. C-spine arthritis
2. TMJ arthritis
3. Cricoarytenoid arthritis
4. Pericarditis
5. Aortic regurgitation
6. Pulmonary fibrosis
7. Hepatitis
8. Anemia
9. Peripheral nerve compression
10. Drug-induced side effects associated with aspirin and/or steroid
therapy
Why does hyperventilation increase risk of digitalis toxicity?
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Hyperventilation --> hypokalemia --> increased binding of digitalis to Na/K
ATPase --> excessive drug effect.
Serum potassium levels decrease by 0.5 mEq/L for each 10 mmHg
decrease in PaCO2.
,Which anesthetic technique should be avoided for a patient with multiple sclerosis?
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Spinal, it exacerbates their symptoms
3 sites a congenital diaphragmatic hernia can come through
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1. Foramen of Bochdalek, 80% of the time, which is left side posterolateral
2. Foramen of Morgagni, which is parasternal
3. Paraesophageal
What is in cryoprecipitate, how much of it, when should you give it, and how much
does it increase?
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Factors I, VIII, vWF, XIII, and fibronectin.
Cryo has 15 g/L of fibrinogen, while FFP only has 2.5 g/L, meaning cryo has
6x more fibrinogen.
You should give it when fibrinogen levels are >80 mg/dL.
Your serum fibrinogen is expected to increase by 50 mg/dL for each dose
(5 pooled bags = single dose).
4 Heart Defects of Tetralogy of Fallot
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1. RV outflow tract obstruction
2. RV hypertrophy
3. Ventricular septal defect due to septal malalignment, which allows a
right to left shunt
4. Overriding aorta that receives blood from both RV and LV
What is normal O2 content of blood?
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20 ml O2/100 ml blood
Three anesthetic concerns for the diabetic patient
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1. Orthostatic hypotention (autonomic neuropathy)
2. Painless MI
3. Gastroparesis
What is the cause of pre-eclampsia?
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200 ml/min
or 2.4-3.2 ml/kg/min
What drug can be given to a premie to prevent post-op apnea?
,Give this one a try later!
Caffeine. Dose is 10 mg/kg, can last for a couple of days. Caffeine is a
respiratory stimulant.
List 10 anesthetic concerns associated with rheumatoid arthritis
Give this one a try later!
1. C-spine arthritis
2. TMJ arthritis
3. Cricoarytenoid arthritis
4. Pericarditis
5. Aortic regurgitation
6. Pulmonary fibrosis
7. Hepatitis
8. Anemia
9. Peripheral nerve compression
10. Drug-induced side effects associated with aspirin and/or steroid
therapy
Why does hyperventilation increase risk of digitalis toxicity?
Give this one a try later!
Hyperventilation --> hypokalemia --> increased binding of digitalis to Na/K
ATPase --> excessive drug effect.
Serum potassium levels decrease by 0.5 mEq/L for each 10 mmHg
decrease in PaCO2.
,Which anesthetic technique should be avoided for a patient with multiple sclerosis?
Give this one a try later!
Spinal, it exacerbates their symptoms
3 sites a congenital diaphragmatic hernia can come through
Give this one a try later!
1. Foramen of Bochdalek, 80% of the time, which is left side posterolateral
2. Foramen of Morgagni, which is parasternal
3. Paraesophageal
What is in cryoprecipitate, how much of it, when should you give it, and how much
does it increase?
Give this one a try later!
Factors I, VIII, vWF, XIII, and fibronectin.
Cryo has 15 g/L of fibrinogen, while FFP only has 2.5 g/L, meaning cryo has
6x more fibrinogen.
You should give it when fibrinogen levels are >80 mg/dL.
Your serum fibrinogen is expected to increase by 50 mg/dL for each dose
(5 pooled bags = single dose).
4 Heart Defects of Tetralogy of Fallot
, Give this one a try later!
1. RV outflow tract obstruction
2. RV hypertrophy
3. Ventricular septal defect due to septal malalignment, which allows a
right to left shunt
4. Overriding aorta that receives blood from both RV and LV
What is normal O2 content of blood?
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20 ml O2/100 ml blood
Three anesthetic concerns for the diabetic patient
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1. Orthostatic hypotention (autonomic neuropathy)
2. Painless MI
3. Gastroparesis
What is the cause of pre-eclampsia?
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