XPERTLY AND CORRECTLY ANSWERED m m m
QUESTIONS| ACE YOUR GRADES!!! m m m
In diabetes insipidus, there is not enough
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hormone. These p m m
atients can diurese very quickly so KEEP AN EYE ON THE FOLEY BAG.
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These patients are given *vasopressin* (which is this hormone which also
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mclamps down blood vessels to increase blood pressure), or DDAVP. Pts r
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eceiving this NEED A CENTRAL LINE! - Correct Answer-ADH
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It is recommended to patients to
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8 weeks before surgery for ciliary function to return - Correct Answer-
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stop
A sign of
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high blood pressure would be a patient getting h m m m m m m m m
eadaches (during anesthesia, the goal is to have a STEADY blood pre
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ssure on the low side of baseline; NOT up and down up and down) -
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mCorrect Answer-symptomatic
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is a hereditary disease where blood does not coagulate t
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o stop bleeding (*factor VIII deficiency*).
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FACTOR VIII (8) IS STARTED PROPHYLACTICALLY IN PRE-OP AREA
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EVEN WITH NORMAL LEVELS and continues throughout surgery -
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mCorrect Answer-hemophilia
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,In a pregnant patient >
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weeks, a fetal heart monitor should be in the O m m m m m m m m m
R at the time during surgery. (Pregnant patients are going to come out of
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surgery having braxton hicks due to irritability: WATCH FOR increasing s
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everity and LOSS OF MUCOUS PLUG) - Correct Answer-20
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True or false?
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CHF patients should stay out of surgery because they're prone to fluid ove
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rload and have an exaggerated vasodilation response. We make these pts
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mNPO and tell them not to take their diuretic, but then fluid overload them w
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hile giving them anesthesia, leading them to need aggressive diuresis post
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mop - Correct Answer-true
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Morbid obesity is classified as a BMI >
m m m m m m m m m - Correct Answer-40
m m
The most difficult position for ventilation is exaggerated
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or high m m
. This INCREASES the work of breathing and the tida
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l volume DECREASES. - Correct Answer-lithotomy
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In asthmatic patients, we have them bring their
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to preop and m m
mtake a few puffs before going to OR. These patients require a *deeper s
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edation for intubation* because they have reactive airways. -
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mCorrect Answer-inhalers m
,For anesthesia, COPD patients require
m sedation with
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*supplemental oxygen* usually via a nasal cannula at 2L oxygen (30% oxy
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gen). In COPD patients, low oxygen stimulates breathing, NOT HIGH CO2
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mbecause they're so used to living with a high CO2 level. The hypothalamu
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s doesn't increase respiratory drive with a high CO2 level like in a normal p
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erson because they always have high CO2. - Correct Answer- moderate
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The goal for oxygen saturation during anesthesia for a patient with COP
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D is - _ % - Correct Answer-88-92
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True or false? m m
In a patient with Rheumatoid Arthritis, they need a pre-
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op H&H before going into the OR and under anesthesia because RA caus
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es ANEMIA. Steroid coverage puts these patients at a risk for *hypo-
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adrenal crisis* which is a hyper stress response and looks like circulatory c
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ollapse/shock - Correct Answer-true m m m
The five things that can cause a
m m m m m m m include:
1. Hypothermia
2. Hypotension
3. Hypovolemia
, 4. Hypoglycemia
5. Hypoxia
TIVA/nerve blocks are preferred for these patients over general anesthes
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ia/spinals/epidurals to avoid the dip in blood pressure
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It is recommended for these patients to have clear liquids WITH CALORI
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ES for up to 2 hours before surgery to prevent hypoglycemia -
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mCorrect Answer-sickle cell crisis
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Pediatric considerations: m
Infant, toddler, preschooler, school age, or adolescent?
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-sooth with pacifier
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-hold and rock - Correct Answer-infant
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Pediatric considerations: m
Infant, toddler, preschooler, school age, or adolescent?
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-separation anxiety m
-communicate with simple sentences m m m
-sooth with distraction and familiar objects
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-once they're mad, it's over, just do what you need to do - Correct Answer-
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