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Anesthesia & Coexisting Disease > Ex2 Peripheral vascular dx > Flashcards

Ex2 Peripheral vascular dx Flashcards

1
Q

PAD - acute is due to

A

arterial embolism

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2
Q

PAD - chronic is due to

A

atherosclerosis

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3
Q

peripheral arterial insufficiency is defined as

A

Ankle brachial index < 0.9

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4
Q

How to measure ankle brachial index

A

SBP ankle/SBP brachial artery

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5
Q

S/S PAD

A

intermittent claudication + pain

most reliable physical finding: decreased/absent pulses

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6
Q

Surgical repair of PAD - anesthetic choice

A

Regional

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7
Q

When is epidural placed for PAD surgery?

A

1 hour prior

*intraop heparinization

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8
Q

Raynauds- regional: avoid?

A

Epi in LA

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9
Q

Leading cause of periop morbidity + mortality

A

DVT + subsequent PE

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10
Q

What is associated with lower DVT/PE after total knee/hip arthroplasty?

A

regional anesthesia

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11
Q

Virchow’s Triad

A

Venous stasis
Hpercoagulability
Disruption of vascular endothelium

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12
Q

Takayasaus Arteritis s/s

A

Neuro: vertigo/syncope
CV: occlusion of peripheral arteries
Lungs: pHTN
Musc: ankylosing spondylitis

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13
Q

Takayasaus Arteritis tx

A

glucocorticoids

*supplemental corticosteroids intraop if on gluco. at home

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14
Q

Takayasaus Arteritis management intraop

A

careful w/ head positioning

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15
Q

Temporal (Giant Cell) Arteritis - complication

A

blindness
*cannot reverse
Tx: prompt corticosteroids

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16
Q

s/s kawasaki dx

A

Swollen erythematous hands/feet, truncal rash, cervical lymphadenopathy

17
Q

Thromboangiitis Obliterans (Buergers Dz) risks

A

men <45

Tobacco**

18
Q

Thromboangiitis Obliterans intraop considerations

A

padding

avoid epi in LA

19
Q

Azotemia

A

excess of nitrogen containing compounds in blood d/t renal dx

20
Q

Azotemia is s/s of which disease

A

Wegeners Granulomatosis

21
Q

Tx Wegeners Granulomatosis

A

Glucocorticoids + cyclophosphamide

22
Q

Cyclophosphamide can cause

A

immunosupression, leukopenia, hemolytic anemia

23
Q

Anesthetic management - Wegeners Granulomatosis

A

Avoid airway trauma with DL
Have 1-2 size smaller ETT (stenotic airway)
supplemental steroids

Anesthesia & Coexisting Disease (23 decks)

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