_______is the most important anesthetic complication. Anesthesia causes an uncontrolled increase in skeletal muscle oxidative metabolism, which overwhelms the body's capacity to supply oxygen, remove CO2, and regulative
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_______is the most important anesthetic complication. Anesthesia causes an uncontrolled increase in skeletal muscle oxidative metabolism, which overwhelms the body's capacity to supply oxygen, remove CO2, and regulative body temperature. Correct Answer: Malignant hyperthermia
If patient is hyperkalemic (normal range 3.8-5.0), how should you treat the patient? Correct Answer: treat with glucose/insulin, and calcium +/-bicarb
_______is the reversing agent for opiods. Correct Answer: Naloxone
_______is the reversing agent for benzodiazipines. Correct Answer: Flumazenil
What is the best indicator used to monitor nutritional status? Correct Answer: prealbumin - every 2-3 days
Intervention:
_________require central access and indicated when no enteral feeding for > 7 days. Correct Answer: TPN - total peripheral nutrition
The _________is the most important part of the history before surgery. Correct Answer: cardiac history -- history of MI, unstable angina, valvular disease
In patients with known cardiac disease, aggressive intraoperative lowering of myocardial oxygen demand with ____ has been shown in RCT's to improve outcomes and should be used. Correct Answer: beta blockers
When accessing cardiac disease prior to surgery, what is the most important thing to access? Correct Answer: aortic stenosis -- crescendo diastolic rumble at apex
Guidelines for the use of antibiotics include administration within _______ of surgery and redosing after 4 hours. What is the abx of choice? Correct Answer: 1 hour
Abx of choice: cefazolin for all except colorectal then cefazolin/metronidazole
Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria? Correct Answer: 3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels
______should be monitored before surgery bc
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