Hemophilia
Site of bleed Level desired (%) Hemophilia A (rFVIII) (U/kg) Hemophilia B (rFIX) (U/kg) Oral mucosa >30 20 40 Epistaxis >30 20 40 Joint or muscle >50 30 50 Gastrointestinal…
Uncategorized
Transfusion Reactions
Medications: Adderall (amphetamine/dextroamphetamine) Allergies: NKDA Past Medical History: Attention Deficit Hyperactivity Disorder (ADHD) Physical Exam: BP 110/40 HR 150 RR 25 oxygen saturation: 95% on room air He appears well…
Anesthesia for Tympanomastoidectomy
Medications: inhaler 2 puffs q4h PRN (last used 3 months ago) lorazepam 2mg PO q6h PRN anxiety Allergies: NKDA Past Medical History: Asthma and panic attacks Past Surgical History: Appendectomy…
Kidney Transplantation
Agent Pharmacokinetics [23] Propofol Increased amounts needed Etomidate Not affected Ketamine Not affected Morphine Metabolites can accumulate, causing increased CNS/respiratory depression Fentanyl, Remifentanil, Sufentanil Essentially unaffected Succinylcholine Unaffected, but patients…
Carcinoid Disease
HPI: The patient has been having ongoing abdominal cramping in the setting of known metastatic carcinoid disease. The patient was diagnosed with a small bowel carcinoid 6 years prior and had…
Laparoscopy
Past Medical History: Cardiac: Hypertension Pulmonary: Obstructive Sleep apnea (OSA) Chronic Obstructive Pulmonary Disease, Stage II GI: Gastroespohageal Reflux Disease (GERD) Endocrine: Diabetes Mellitus Type II (DMII) Medications: Atenolol 25 mg…
Morbid Obesity
Medications Lisinopril 20 mg oral daily Simvastatin 20 mg oral daily Metformin 500 mg BID Orlistat 120 mg, prior to meals. Allergies NKA Past Medical History She has a history of hypertension, hypercholesterolemia, diabetes…
Anesthesia for Endovascular Aortic Aneurysm Repair (EVAR)
Physical Exam: 165 cm, 95 kg; BMI 34.5 Heart sounds: Normal; Lungs without rhonchi or wheezes BP 140/88; HR 64; Mallampati class: 2 AAOx3 PSH: Left CEA Meds: Norvasc, Lipitor, Toprol, ASA,…
Anesthesia for Liver Transplantation
Meds spironolactone, propranolol, lactulose, neomycin, multivitamin Med Hx: Depression, anxiety, alcohol abuse. Hepatitis C infection, cirrhosis, portal hypertension Surg Hx: TIPSS procedure following variceal bleeding 1 year ago Physical Exam:…
The Full Stomach
Medications: Methyphenidate LA, Dilaudid (hydromorphone) 2 mg (In ED) Allergies: None PMHx: ADHD Physical Exam: Vital Signs: HR 115 BP 140/90 RR 24 SpO2 99% NC O2@3 L/m HEENT: C-collar in place Full lumberjack beard …
