Obesity.txt

Which drugs are dosed on IBW?

Is Propofol dosed in IBW or TBW?

Is Thiopental dosed on IBW or TBW?

Is Midazolam dosed on TBW or IBW?

Is Succinylcholine dosed on IBW or TBW?

Is Vec & Roc dosed on IBW or TBW?

Is Atracurium/Cisatracuriwm dosed on TBW or IBW?

Is Fentanyl/Sufentanil dosed on TBW or IBW?

Is Remifentail dosed on IBW or TBW?

If Vd increased or decreased in obese patients?

Is TBW increased or decreased in obese patients?

Is renal clearance increased or decreased in obese patients?

Does total blood volume increase or decrease in obese patients?

If total blood volume is increased in obese patients, what happens to plasma concentration of drugs?

What can be done to offset the decrease in FRC?

What happens to the IA in obese patients who have a decreased FRC?

Is the FRC increased or decreased on obese patients?

Is the expiratory reserve volume increased or decreased in obese patients?

Is TLC increased or decreased in obese patients?

Does FRC continue to decrease with an increase in BMI?

Is PVR increased or decreased?

The decrease in FRC causes the obese patient to do what?

Is lung compliance and resistance increased or decreased in obese patients?

What does decreased compliance, decreased FRC, & impaired gas exchange do to the RR of an obese patient?

How does hyperinsulinemia cause HTN in an obese patient?

Which 2 drugs of the Fentany family has the largest Vd?

What is the duration of hydromorphone?

What is the peak of hydromorphone?

What is the onset of hydromorphone?

What is the dose of hydromorphone?

What is the duration of remifentail?

What is the peak of remifentail?

What is the dose of Remifentail?

Of the Fentanyl family, which causes the most bradycardia?

What is the duration of sufentanil?

What is the peak of sufentanil?

What is onset of sufentanil?

What is the dose of Sufentanil?

What is the duration of Alfentanil?

What is the peak of Alfentanil?

What is the onset of Alfentanil?

What is the dose of Alfentanil?

Of the Fentanyl family, which has the gretest cardioprotective effect?

Of all the narcotics, which one has the greatest pulmonary uptake?

What is the duration of Fentanyl?

What is the peak of Fentanyl?

What is the onset of Fentanyl?

What is the dose of Fentayl?

Which receptors does Morphine work on?

What is the duration of morphine?

What is the peak of Morphine?

What is the onset of Morphine?

What is the dose of Morphine?

T-burg & insufflation can drastically reduce chest wall excursion & reduce chest wall compliance.  True or false

An obese patient has bigger lungs than a normal weighted patient? True or False

Why might regional anesthesia be reduced in an obese patient?

At what intra abdominal pressure can renal blood flow and UR be reduced?

What is the most correct dose of Propofol for a 190kg patient with an IBS of 80kg who has no other medical problems?
a. 150mg
b. 225mg
c. 350mg
d. 400mg

How is Remifentanil dosed in an obese patient?

How is Fentanyl & Sufentanil dosed for an obese patient?

How is Roc/Vec dosed in an obese patient?

How is succs, Atracurium, & Cis dosed for an obese patient?

How is Midazolam dosed for an obese patient?

How is Propofol dosed in an obese patient?

How long does obese patients have an increased risk of hypoxemia post operatively?

Which of the following is false?
a. OHS is caused by the physical obstruction     of air from entering the lungs.
b. OSA is defined as airflow obstruction >10     seconds
c. OSA has a central apnea component
d. All of the above are false

How does OHS differ from OSA?

In OHS, central events cause apnea without respiratory effort? True of False

What is a long-term consequence of OSA?

What are the pathologic effects of OSA?

How is OSA treated?

What is hypopnea?

How is the severity of OSA defined?

How is OSA defined?

Is LMWH based upon TBW or IBW?

Why are obese patients at increased risk for thromboembolic Dz?

A patient presents with morbid obesity & a hiatal hernia.  Which of the following is the BEST selection for this patient based on the info provided?
a. use of an LMA with rocuronium 1.2mg/kg
b. use of an ETT with succinylcholine RSI
c. use of an ETT, muscle relaxant of choice,
    regular IV induction
d. use of an LMA, succs, & cricoid pressure

Does obesity cause reduced gastric emptying & increased gastric volume?

Which of the following is true:
A. Obese Patient's have increased TLC
B. Obese patient's have decreased circulating blood volume
C. Obese Pt's have increased PVR
D. Obese patient's have decreased FRC

Do you see an increase or decrease in pulmonary vascular pressures?

Does obesity cause an increase or decrease in blood volume?

What type of lung disease does obesity mimic?

Is TV increased or decreased in obese patients?

Weight depedent decreases in TV causes what?

Do ou see an increased or decreased FRC/TLC in an obese person?

What are the 3 primary considerations of a difficult mask ventilation?

What does a BMI >28 cause an increased risk for?

What is the BMI range for overweight?

What is the minimum definition of obesity?

What is pulmonary HTN in obese patients caused from?