© Springer International Publishing AG 2017Linda S. Aglio and Richard D. Urman (eds.)Anesthesiologyhttps://doi.org/10.1007/978-3-319-50141-3_48 48. Labor and Delivery Vesela Kovacheva1 (1) Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women’s Hospital, 75 Francis…
Medications: aspirin 81 mg oral daily clopidogrel 75 mg oral daily amlodipine 10 mg oral daily metoprolol 25 mg oral twice daily hydrochlorothiazide 25 mg oral daily albuterol inhaler as…
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…
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…
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…
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…
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…
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…
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…
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,…
