Fluids, Electrolytes, and Acid–Base Physiology

Sep 11, 2016 by in ANESTHESIA Comments Off on Fluids, Electrolytes, and Acid–Base Physiology

TABLE 14-2 FACTORS THAT MAINTAIN METABOLIC ALKALOSIS *Animal models. GFR = glomerular filtrate rate; Tm. TABLE 14-3 PHYSIOLOGIC EFFECTS PRODUCED BY METABOLIC ALKALOSIS Hypokalemia (potentiates effects of digoxin; evokes ventricular…

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Anesthesia for Cardiac Surgery

Sep 11, 2016 by in ANESTHESIA Comments Off on Anesthesia for Cardiac Surgery

*The goal is to return the heart to a slow, small, perfused state.IV = intravenous. TABLE 38-4 GUIDELINES FOR CORONARY ARTERY BYPASS GRAFT SURGERY Volatile agent–based anesthetic (facilitate early tracheal…

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Basic Principles of Clinical Pharmacology

Sep 11, 2016 by in ANESTHESIA Comments Off on Basic Principles of Clinical Pharmacology

TABLE 7-2 DRUGS WITH SIGNIFICANT RENAL EXCRETION ENCOUNTERED IN ANESTHESIOLOGY Aminoglycosides Pancuronium Atenolol Penicillins Cephalosporins Procainamide Digoxin Pyridostigmine Edrophonium Quinolones Nadolol Rocuronium Neostigmine Sugammadex 2. Phase II reactions are known…

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Commonly Used Monitoring Techniques

Sep 11, 2016 by in ANESTHESIA Comments Off on Commonly Used Monitoring Techniques

b. Increases in MetHb produce an underestimation when Spo2 is >70% and an overestimation when Spo2 is <70%. c. COHb produces artificially high results. C. Proper Use and Interpretation. Factors…

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The Liver: Surgery and Anesthesia

Sep 11, 2016 by in ANESTHESIA Comments Off on The Liver: Surgery and Anesthesia

TABLE 45-2 BLOOD TESTS AND THE DIFFERENTIAL DIAGNOSIS OF HEPATIC DYSFUNCTION TABLE 45-3 HEPATOBILIARY IMAGING • Plain radiography (limited role in evaluation of liver disease) • Ultrasonography (primary screening test…

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Monitored Anesthesia Care

Sep 11, 2016 by in ANESTHESIA Comments Off on Monitored Anesthesia Care

B. To avoid excessive levels of sedation, drugs should be titrated in increments rather than administered in larger doses according to predetermined notions of efficacy. C. Continuous infusions (e.g., propofol)…

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Emergency Preparedness for and Disaster Management of Casualties from Natural Disasters and Chemical, Biologic, Radiologic, Nuclear, and High-Yield Explosive (CBRNE) Events

Sep 11, 2016 by in ANESTHESIA Comments Off on Emergency Preparedness for and Disaster Management of Casualties from Natural Disasters and Chemical, Biologic, Radiologic, Nuclear, and High-Yield Explosive (CBRNE) Events

3. Many assume that they will be able to communicate with loved ones during a disaster, but often cell phone towers are damaged or so many people are trying to…

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Opioids

Sep 11, 2016 by in ANESTHESIA Comments Off on Opioids

B. The synthesis of heroin in 1874 was based on the empirical finding that boiling morphine with specific acids caused the replacement of the two morphine —OH groups by —OCOH3…

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Intravenous Anesthetics

Sep 11, 2016 by in ANESTHESIA Comments Off on Intravenous Anesthetics

TABLE 18-1 DESIRABLE CHARACTERISTICS OF AN INTRAVENOUS ANESTHETIC Stable in solution Absence of pain on injection (venoirritation) or tissue damage from extravasation Low potential to release histamine Rapid onset Prompt…

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