Final Exam - Odds and Ins Flashcards
(29 cards)
What is the (metric) formula for BMI?
BMI = weight (kg) / height (m)²
What is a normal BMI?
What is an obese BMI?
Why is BMI not very accurate?
Normal: 18.5-24.9
Obese: > 30.0
BMI does not account for muscle mass
What is the Revised Cardiac Risk Index (RCRI)?
What are the components?
Estimates risk of cardiac complications after surgery
How is funcitonal capacity measured?
What is its units?
What level is desired before surgery?
- METs (metabolic equivalent of task)
- 1 MET = 3.5 mL O2/kg/min
- > 4 METs is desired (need to climb one flight of stairs without getting short of breath or chest pain)
Describe an ASA I patient?
A normal healthy patient
Describe an ASA II patient?
A patient with mild systemic disease without functional limitations (smoker, social drinker, pregnancy)
Describe an ASA III patient?
A patient with severe systemic disease with substantive functional limitations (poorly controlled DM or HTN, COPD, CVA, morbid obesity)
Describe an ASA IV patient?
A patient with severe systemic disease that is a constant threat to life (recent <3 months MI, CVA, or stents, sepsis, ARDS, severe valve dysfunction)
Describe an ASA V patient?
A moribound patient that is not expected to survive without surgery (ruptured AAA, massive trauma, ischemic bowel with MODS)
Describe and ASA VI patient?
A declared brain-dead patient whose organs are being removed for donation
Fill in the labs in the image below:
What condition makes one more prone to latex allergy?
- Spina Bifida
How long before a procedure should a patient be NPO after a full fatty meal?
8 hours
If a patient just ate toast mith coffee and milk, how long should they be NPO prior to surgery?
6 hours
How long does an infant need to be NPO after having breast milk?
4 hours
How long after drinking water or tea can a patient have surgery?
2 hours
What is the initial defibrillating dose for a pediatric patient?
What about subsequent defibrillations?
Initial - 2 J/kg
Second - 4 J/kg
Max 10J/kg or adult dose
What is the pediatric arrest/bradycardia dosing of epinephrine?
What if no IV is present?
- 0.01mg/kg IV
- Endotracheal dose: 0.1mg/kg
What is the dosing of atropine for a bradycardic pediatric patient?
What are the minimum/maximum doses?
- 0.02 mg/kg, can be repeated once
- 0.1mg - 0.5mg
When is cardioversion indicated for pediatric tachycardia?
What is the dose?
- If cardiopulmonary compromise is present and QRS is wide (>.09 s). Or if adensosine is ineffective.
- Begin with 0.5-1J/kg
- If ineffective, increase to 2 J/kg
What are effective treatements for angioedema caused by ACEi?
FFP and TXA
What structures should be visible in a Mallampati class I?
- Fauces
- Tonsillar pillars
- Entire uvula
- Soft palate
What should be visible in a Mallampati class II?
- Fauces, portion of uvula, and soft palate
What should be visible in a Mallampati class III?
- Base of uvula and soft palate
