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Flashcards in intraop management of the trauma pt Deck (19)
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1

RSI contraindicated for (2)?

airway tears, oro facial injury

2

Hemorrhage and hypovolemia lead to?

higher than normal blood concen of IV agents, increased sensitivity of brain to anesthetics, preferential distribution of CO to brain and heart, cerebral hypoxia, acidosis, dilutional hypoproteinemia

3

What happens to plasma concen of remifent and fent when in shock?

plasma concen increased

4

Decreased VOD does what to etomidate and prop?

increases blood level of etomidate 20% and propofol to some degree

5

2 drugs known to have significant cardiac depression activity?

thiopental, versed

6

Is baroreceptor depression produced by IV agents greater than, equal to, or less than that produced by inhalational agents?

less than

7

How do opioids cause hypotension?

inhibiting SNS effect

8

IV dose of scopalamine to be given w anesthesia?

0.6 mg

9

What solutions are contraindicated in trauma pts?

those w glucose in them

10

Most common complication in trauma pt?

hypothermia

11

How long does it take to warm the trauma pt one degree?

hour

12

Is metabolic acidosis aggravated by massive transfusion?

yes

13

Most desirable method for correction of met acidosis?

restore adequate perfusion

14

3 disadvantages of sodium bicarb?

left shift carboxyhg, hyperosmolar state, alkalosis

15

Lactate greater than what suggests lactic acidosis?

5

16

Base deficit greater than what suggests hypovolemia?

14

17

3 things to correct to correct met acidosis?

hypoxemia, CO, hypovolemia

18

Deficiencies of what factors treated w FFP?

V and VIII

19

Decision to extubate influenced by 5 factors?

duration/type of surgery, duration/degree hypotension, presence of chest injuries, vital capacity, hypothermia