What test, which is no longer commonly used, is performed prior to insertion of a radial arterial line?
When a patient has ____ stenosis, the goal of anesthetic management is to maintain a normal systemic vascular resistance and sinus rhythm.
The neuromuscular blocker, cisatracurium, is metabolized by what degradation/elimination?
What general blood product is often given for SEVERE coagulopathy and Factor VIII deficiency?
An overdose of this would cause bradycardia, excessive salivation, bronchospasm, vomiting, miosis, and muscle weakness.
When a person becomes hypoxic during one-lung ventilation, it is important to first apply CPAP to the non-ventilated lung. If there is no improvement, then the anesthesiologist should apply what to the ventilated lung?
What is a rare postop complication associated with long surgeries, prone positioning, anemia, increased applied pressure or edema, hypotension, spine surgeries, and/or cardiopulmonary bypass.
An abnormal sensation, such as burning, prickling, tickling, or tingling.
The body is what percent water, by height?
The left main coronary first branches into what?
Left anterior descending and circumflex.
Which opioid has a slower peak onset than fentanyl, is the least lipid soluble opioid and is thus the most likely agent to accumulate in the presence of renal failure?
Fluid replacement for large, open surgeries can be as high as how many ml/kg/hour?
Heat lost by what is the #1 cause of heat loss in the OR?
Stacking or auto-PEEP of mechanical breaths can occur when what phase of respiration is relatively too short?
How does pulse pressure change in aortic stenosis?
Which narcotic has tachycardia as a side effect?
Stabbed in chest presenting with hypotension, equal breath sounds, and jugular venous distention.
Securing a definitive airway should be considered for an injured patient with a GCS score of less than or equal to what?
Right ventricular myocardial infarction usually occurs with which left-sided MI?
What are some complications of acupuncture?
What is the most important therapeutic modality for a patient with complex regional pain syndrome?
What are some emergency pain conditions?
Acute abdomen(infection, obstruction, ischemia)
Low back pain emergencies?
Abdominal aortic aneurysm
Metastasis esp. spinal
Spinal cord compression syndromes, abscess, hematoma and central disc herniations, cauda equina syndrome
(not meperidine b/c of SE)
What are the benefits and disadvantages to COX2 inhibitors?
Benefits: platelet function, GI effects, dosing convenience
Disadvantages: increased cardiac risk, cost, no parenteral form
30mg = 10mg MSO4
60% renal excretion, 40% glucoronide conjugation
Inhibits platelet aggregation
Renal toxicity - hypovolemia, CHF, cirrhosis
Site of action of opioid receptors?
mesencephalic periaqueductal grey in the brain and substantia gelatinosa in the spine
Cancer bone pain therapy?
Radiotherapy & radiopharmaceuticals
Which induction agent causes an increase in ICP,cerebral metabolic rate, and cerebral oxygen consumption?
Which induction agent is contraindicated in patients with porphyria?
What are the side effects of succinylcholine?
bradycardia, fasciculations, hyperkalemia
Which neuromuscular blocker has a side effect of tachycardia?
Which neuromuscular blocker is metabolized by pseudocholinesterase?
What effect does addition of epinephrine have on local anesthetic block?
It prolongs duration of local anesthetic block.
What are signs of local anesthetic toxicity?
Tinnitus, seizures, cardiac arrest
Commonly monitored ECG leads?
II: detects arrhythmias - maximal amplitude of the P-wave of all leads helps identify rhythm, detects inferior wall MI