jensen2 Flashcards

1
Q

best indicator liver synthetic ability

A

PT

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2
Q

best indicator liver excretory function

A

bilirubin

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3
Q

anion gap

A

Na - (Cl + HCO3)

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4
Q

increased anion gap

A

LUK SEMP - lactic acidosis, uremia, ketoacidosis, salicylates, ethylene glycol, methanol, paraldehyde

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5
Q

large a waves

A

MS, heart block, atrial myxoma

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6
Q

large v waves

A

MR, MS, CHF, VSD

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7
Q

ascites with hepatic failure

A

decreased intravascular oncotic pressure

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8
Q

citrate toxicity symptoms

A

hypotension, poor CO, decreased SVR - aggravated by hypothermia and hyperkalemia (more pronounced with renal failure)

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9
Q

increased risk for TNS

A

lidocaine, lithotomy, out patient

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10
Q

altitude change and gas

A

high altitudes/lower atmospheric pressure = increased vapor pressure (higher amount delivered than on dial)

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11
Q

nitrogen wash out

A

breathe 100% O2, measure nitrogen volume at initial concentration and final to calculate FRC

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12
Q

biceps strength dermatome

A

C5-C6

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13
Q

thumb dermatome

A

C6

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14
Q

triceps strength dermatome

A

C7-C8

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15
Q

little finger dermatome

A

C8

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16
Q

nipple dermatome

A

T4-5

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17
Q

umbilicus dermatome

A

T10

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18
Q

iliopsoas strength dermatome

A

L2-3

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19
Q

knee jerk/quads dermatome

A

L3-4

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20
Q

toe extension dermatome

A

L4-5

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21
Q

great toe dermatome

A

L5

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22
Q

plantar flexion dermatome

A

S1

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23
Q

factor Xa mechanism of action

A

catalyzes conversion of prothrombin to thrombin

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24
Q

clopidogrel/ticlopidine

A

noncompetitively and irreversibly inhibits ADp induced platelet aggregation

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25
argatroban metabolism and monitor
metabolized by liver, monitor with PTT (used for patients with history of HIT)
26
lepirudin mechanism and metab
direct thrombin inhibitor; renally cleared (used for patients with history of HIT)
27
argatroban mechanism
direct thrombin inhibitor (liver metabolism)
28
fondaparinux (arixtra) mechanism
inhibitor of activated factor X (for DVT prophylaxis)
29
best indication of ischemia in OR
(TEE) lead II and V ST depression is 95% sensitive
30
treat heparin resistance
FFP or recombinant antithrombin III
31
common MAOIs
Isocarboxazid (Marplan), Phenelzine (Nardil) | Selegiline (Emsam), Tranylcypromine (Parnate)
32
face mask flow and %
8-10 L/min; 40-60%
33
nasal cannula O2 enhancement
4-5% per liter (max ~55%)
34
nasal cannula reservoir
concentration of O2 is function of oxygen flow rate (does not exceed peak inspiratory flow rate for normal tidal 40 L/min) and minute ventilation - hypovent=FiO2 high vs hypervent=FiO2 low
35
venture mask
FiO2 is independent of minute ventilation and inspiratory flow rate - oxygen concentration can be controlled
36
NO mechanism
acetylcholine stim release of NO which stim cGMP - decrease in intracellular calcium
37
highest MAC requirements
2-3 months old
38
sevo/mac/peds
same MAC for neonates and infants
39
hyperaldosteronism
HTN, hypokalemia (ass with polyuria and polydipsia), treat with aldosterone antagonist spironolactone
40
fluid for craniotomy
NS ok, avoid solutions with glucose, avoid LR (273 osm) because decreases plasma osm and may increase incidence of cerebral edema
41
avoid CMV in blood products
WBC washed
42
hyperventilation treats...
hyperkalemia
43
baclofen mechanism
GABA B agonist that works centrally
44
baclofen se
drowsiness, dizziness, GI symptoms, confusion, hypotension
45
central retinal artery
ass with venous drainage obstruction or cardiac surgery with emboli; cherry red macula
46
ant ischemic optical neuropathy
ass with older, DM, HTN, SLE, open heart surgery; unilateral blindess 2/2 pressure on globe
47
post ischemic optical neuropathy
ass with hypotension, decreased hct; bilateral, prone position, no optic disk abnormality
48
cortical blindness
ass with cardiac/thoracic surgery, CABG, hypotension; bilateral with loss of optokinetic reflex
49
meperidine and heart
causes tachycardia
50
midazolam bioavailability
higher with IM than intranasal
51
estimating age with weight
(age x 2) +9
52
rocuronium and vecuronium metab
mainly biliary excretion, but use caution with liver and renal dysfunction
53
anticholinesterase inhibitors and kidney
renal failure prolongs
54
oxygen delivery equation
O2 content ([1.34xhgbxSaO2] + [0.003 x PaO2]) x CO
55
zoster common location
thoracic and upper lumbar
56
trifurcation on bronchoscope
right upper lobe bronchial segment
57
dead space increase
upright position, neck extension, age, anticholinergics, PE, hypotension, emphysema, COPD, anesthesia machine, rebreathing
58
electrical cardioversion contraindications
dig toxicity and hypokalemia
59
fixed lesion
subglottic stenosis
60
variable extra-thoracic lesion
supraglottic tumor
61
variable intra-thoracic lesion
bronchial adenoma
62
abductor of vocal cords
posterior cricoarytenoid muscle innervated by RLN
63
direct thrombin inhibitors
argatraban, lepirudin, hirudin, dabigatran, bivalirudin,