Surg Ph3 Flashcards
(26 cards)
Remrks on tranexamic acid
CRASH-2 TRIAL: if given within 3 hours of injury, decreasesd mortatlity
A unit of lbood could be transfused most rapidly through which of the following vascular access catheters
Widest and shortest
“16-gauge, 3-cm peripheral IV in the right antecubital fossa”
How to diff coagulpathy of endstage liver dse vs DIC
Estimation of factor VIII:c
C/i to organ donation
Creutzfeldt-Jakob disease
📌
Tx of itp vs ttp
ITP: steroids
TTP: plasma exchange transfusion
Base deficit
I: 0 to -2
II: -2 to -6
III: -6 to -10
IV: less than -10
DOC for complicated pancreatitis
Cilastatin-imipinem
Chronic carrier state occurs with hepatitis C infection
75-80%
At what pressure is operative decompression of a compartment mandatory?
45 mmHg
*most common compartment involved: anterior compartment of the leg, which contains the deep peroneal nerve
Proliferative phase of wound healing
7 days (4-12 days)
Model in patient safety
Donabedian model
Changes in structure, process, outcomes
Prophylaxis using low-dose UFH reduces the incidence of fatal pulmonary embolism by
50%
Best test to predict successful extuvation of patient
Tobin index
Ratio of RR and tidal volume
≤105: 70% chance of passing
>105: 80% chance of failing
Which have been showsn to decrease the time of post-op ileus
Erythryomycin
FDA-approved drug for post-op ileus
Alvimopan
Mu-opioid receptor antagonist
Antidote for hydrofluoric acid
Calcium carbonate gel
topical/IV Calcium gluconate (Schwartz)
Ocular melanoma
Exclusicely metastasizes to the liver
Closing of ASD
Asymptomatic: 4-5 y/o
Symptomatic: neonatal
Abn of heart, m/c
- Bicuspid aortic valve
2. VSD
Arterial switch is best performed
Within 2 weeks of birth
Most commonlynrecommended age of correcrion of TOF
Blalock tausig shunt
Subclavian to pulmonary artery
Neonate younger than 3 months
Best predictor of spontaneous closure of VSD
Age at diagnosis
1 month: 80% chance of closur
12 months: 20-25%
Mc type of vsd
Perimembaranous
Remark/s on CABG
300-400 units heparin / kg is needed to increase activated clotting time to greater than 450 secs
“Anticoagulation is required during CPB, and 300 to 400 units/kg of heparin is given to increase the activated clotting time (AC ) to greater than 450 seconds. “
