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St. Francis Clinical Prep - Pimp Questions
Terms in this set (17)
Treatments for Hyperkalemia
1. Calcium (e.g. calcium gluconate)
2. Insulin (e.g. regular) - may also need to give glucose
3. Beta-2 agonist (e.g. albuterol)
4. Sodium bicarbonate
5. Diuretics (e.g. furosemide)
Signs of Hyperkalemia
Mild: peaked T waves, shortened QRS
Change in Height vs. mmHg for MAP
15 cm change in height --> 10 mmHg change in MAP
Especially important when concerned about CPP (MAP-ICP)
Pediatric ETT Size
(age/4)+4 for uncuffed.
For cuffed, use 0.5 size smaller
What are you worried about when releasing the surgical tourniquet?
Evil humors --> vasodilation
Open up the roller clamp and allow fluids to run freely right before tourniquet removal
What are curare clefts?
Dips in the plateaus of the CO2 waveform, indicating spontaneous respiratory effort during mechanical ventilation.
May mean you need more NMB
What dose of Pitocin is given to a patient undergoing C-section after delivery?
Typically 40 mg; St. Francis CRNAs put 20 mg in a bag of LR if it has at least 500 mLs and the other 20 mg in a new bag of LR.
NOTE: Ask the surgeon before giving Pitocin
Why are we hesitant to give a second dose of succinylcholine?
What happens if you extubatne in Stage 2?
How does your body sense changes in BP?
Sensed in baroreceptors and then sent to the medulla
Respiratory response to volatile anesthetics?
Shallow TV and rapid RR
What's the quick way to calculate PaO2 for a healthy person?
Cardiac output x FiO2
What's the random seizure activity that can happen after the administration of propofol?
What's a fairly common cause of shortened NMB duration?
Why would you not give SCh to a patient with cerebral palsy?
Their receptors are unregulated and they have lots of immature receptors that could cause a massive K+ efflux
Which NMBs are sensitive to upregulation and which are sensitive to downregulation?
SCh is sensitive to upregulation and resistant to downregulation and the NDNMBs are sensitive to downregulation and resistant to upregulation.
What causes a left to right shunt?
Increased after load compared to pulmonary pressure
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