Exam 2 Flashcards
What is the most common nerve injury in the lithotomy position?
Peroneal nerve injury
__ minutes of pressure on the eye will make your patient blind
20
__ embolism is a bad complication of the sitting position.
Air
Most common peripheral nerve injury is __ neuropathy
Ulnar
Atlantoaxial subluxation is associated with __ arthritis, note any patient taking steroids or methotrexate. Get flex-ex X-rays, if instability exceeds 5mm, intubate awake
Rheumatoid
Axillary roll should be __ to (just below) the axilla.
Caudad
Most common physiologic consequence of positioning __
Postural hypotension
Fibrosis of the conduction system and loss of SA node cells increases dysrhythmias, esp. __ fib and flutter
atrial fib and flutter
geriatrics- maximal heart rate decreases by about 1 beat per minute per year greater than age __, and have decreased baroreceptor reflex
50
Geriatrics have less chronotropic response to catecholamines due to decreased __ receptor sensitivity, but not decreased number of receptors.
beta
geriatrics have a delayed onset of IV drugs but __ induction with inhalational agents
faster
normal physiological responses in geriatrics, increased chest wall rigidity, decreased muscle strength = decr. cough, decr. max breathing capacity. BLUNTED response to __ and __
hypercapnia
hypoxia
if your GRF is down, you will filter drugs __
slower
decreased liver mass means __ slower drug metabolism
slower
increased gastric pH means __ rate of gastric emptying
decreased
geriatrics have decreased requirements for injected and inhaled anethetics and are more susceptible to __
delirium
OD is the __ eye, dang right!
right
OS is the __ eye
Left
OU is the __ eye
Both
What is the most common eye injury?
Corneal abrasion
Normal intra ocular pressure is __ to 20 mmHg
12
Glaucoma is obstruction to the __flow of aqueous humor, IOP greater than 20 mmHg
Outflow
Can you use glycopyrrolate with glaucoma?
NO
Inhalational agents and IV anesthetics __ IOP
Decrease
