Flashcards in intraop management of the trauma pt Deck (19)
RSI contraindicated for (2)?
airway tears, oro facial injury
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
What happens to plasma concen of remifent and fent when in shock?
plasma concen increased
Decreased VOD does what to etomidate and prop?
increases blood level of etomidate 20% and propofol to some degree
2 drugs known to have significant cardiac depression activity?
Is baroreceptor depression produced by IV agents greater than, equal to, or less than that produced by inhalational agents?
How do opioids cause hypotension?
inhibiting SNS effect
IV dose of scopalamine to be given w anesthesia?
What solutions are contraindicated in trauma pts?
those w glucose in them
Most common complication in trauma pt?
How long does it take to warm the trauma pt one degree?
Is metabolic acidosis aggravated by massive transfusion?
Most desirable method for correction of met acidosis?
restore adequate perfusion
3 disadvantages of sodium bicarb?
left shift carboxyhg, hyperosmolar state, alkalosis
Lactate greater than what suggests lactic acidosis?
Base deficit greater than what suggests hypovolemia?
3 things to correct to correct met acidosis?
hypoxemia, CO, hypovolemia
Deficiencies of what factors treated w FFP?
V and VIII