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Miller's Anesthesia > 32. Concurrent diseases > Flashcards

32. Concurrent diseases Flashcards

1
Q

Why diabetic patients have a higher risk of difficult intubation

A

Because an increase of production of no normal proteins. This proteins weaken endothelium and decrease elastance

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2
Q

Electrolyte disbalance in ketacidosis

A

HypoK, HypoNa, HypoPh

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3
Q

Hypocalcemia symptoms

A

Stridor, cramps, elongated QT, Chovstek (alsoTrousseau), pakinsonism, tetany…

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4
Q

Thyroxine binding globulin, factors affecting

A
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5
Q

Side effect on vincristine and vinblastine

A

Vincristine peripheral neuropathy and SIADH
Vinblastine Myelotoxicity

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6
Q

Radiation damage

A

Lungs 1500
Kidney 2400 rads
Heart 3000
Spinal cord 4000
Intestine 5500
Brain 6000
Bone 7500

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7
Q

Verapamil (ACE inh) and anesthesia

A

decrease blood pressure
decrease anesthetic requirements (like lithium)
increase NMBA action

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8
Q

% of patients with early seizure after TBI

A

30%

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9
Q

Carcinoid tumor and heart involvement

A

Usually limited to right side (TR)

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10
Q

Shortest and longest bb half life

A

Esmolol 9 min
Nadolol 17-24h

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11
Q

Difference between HR on deep inspiration

A

Usually 15 bpm

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12
Q

Aldosterone characteristics

A

Zona glomerulosa of adrenal cortex
Acts on distal renal tubule
Reabsorption of Na at the expense of K and H

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13
Q

Best test for pheochromocytoma

A

Clinical: Headache, HT, sweating, tachicardia

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14
Q

Pregnancy and thyroid

A

Elevates TGB + T4 (due to estrogen)

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15
Q

Calcium and albumin

A

Ca depends on the albumin level. Decrease of 0.8 in Ca for every mg of albumin (ratio Ca/alb 0.8/1)

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16
Q

SIAHD and DI

A

Both of them problems with ADH
SIADH too much
DI too little

17
Q

Smoking ceseation

A

3 weeks improve wound healing
< 4 weeks doesn’t improve respiratory complications

18
Q

Creatine clearance formula

A

(140-age) x weight / (72 x Cr)

19
Q

Diabetes insipidus before surgery

A

100 mU Vasopressin + 100 in the next hour

20
Q

Anaphylactoid reaction

A

No IgE
No need previous exposure

20
Q

First sign of hyperK

A

HR not stable

21
Q

Treatment for carcinoid symptoms

A

Ocreotide

22
Q

Glucocorticoids potency

A

HydroC 1
C 0.8
Pred 4
MehtylP 5
Betam 25
Dexa 30

23
Q

Copper funtion

A

Energy
Connective tissue
Blood vessels
Maintain nervous system
Inmune system

24
Q

Sheehan syndrome

A

Post partum hypopituitarism caused by necrosis of the pituitary gland
HypoThy Irregular periods Low sugar Low BP, breastfeeding, sex drive

25
Q

Renal tubular failure causes…

A

Uremia

26
Q

Down syndrome charac

A

Congenital heart lesion
acetal occipital instability
Upper airway infections
Thyroid dysfunction

Miller's Anesthesia (43 decks)

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