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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Palonosetron
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
D.2. How would you pharmacologically prevent PONV in the susceptible ambulatory patient?
Pancuronium
B.1. How is the choice of NMBA made?
Burns
C.10. Which neuromuscular blocking agents would you use? Why?
C.13. How are neuromuscular blocking agents, such as succinylcholine, atracurium, cisatracurium, vecuronium, pancuronium, rocuronium, and curare, metabolized and eliminated? Which have significant histamine release?
C.5. What neuromuscular blocking agent would you choose?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
C.1. What drugs should be avoided during the operation?
C.12. How does burn injury affect the dosing of nondepolarizing neuromuscular blocking agents?
C.5. How are nondepolarizing neuromuscular blockers affected by renal failure?
C.8. How would you maintain anesthesia?
Papaverine
A.17. Describe the operative procedure of kidney transplantation.
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
C.1. Are a central venous pressure (CVP) catheter, an arterial catheter, and a pulmonary artery catheter required for the transplant procedure?
D.8. What treatments can be undertaken once a diagnosis of cerebral vasospasm is made?
Paracetamol
A.4. What would be your perioperative analgesic strategy?
B.6. Describe the mechanism of action of each premedication in the ENERGY protocol.
Penicillamine
A.2. What is the etiology and pathophysiology of MG?
A.5. What should be considered in the differential diagnosis?
Penicillin
Pentobarbital
B.2. In a patient who presents with intracranial hypertension, what management might have already been initiated preoperatively, and what are the implications for anesthetic management?
C.4. Would you use thiopental, methohexital, etomidate, or ketamine for induction of anesthesia?
Perphenazine
Pethidine
Phenobarbital
A.2. What is the underlying pathology?
D.4. What is the role of antiseizure prophylaxis in the perioperative management of head trauma?
Phenoxybenzamine
A.14. What is the mechanism of action of the major antihypertensive drugs?
B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery?
B.14. What is the pharmacologic management of CRPS?
D.1. What is the significance of postoperative hypotension? How is it treated?
Phentolamine
A.14. What is the mechanism of action of the major antihypertensive drugs?
C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension?
B.15. What is the role of intravenous regional block (Bier block) in diagnosis and treatment of CRPS?
C.4. What drugs are used to control the effects of catecholamine stimulation during surgery?
Phenylephrine
Phenytoin
A.2. What is the underlying pathology?
B.6. What drug therapy is the treatment of choice for seizure prophylaxis?
C.15. What therapeutic measures are recommended for patients with TURP syndrome?
A.13. What changes occur in hepatic function? What are the anesthetic implications of such changes?
B.4. Are there anesthetic implications from current treatment drugs?
B.9. What precautions should be taken for airway management?
D.4. What is the role of antiseizure prophylaxis in the perioperative management of head trauma?
Phosphate
A.1. What was the most likely underlying medical condition in this patient? How would you confirm the diagnosis of sickle cell anemia?
A.5. What electrolyte imbalances occur in patients with impaired renal function, and how are they treated?
A.7. Are patients with renal disease at increased risk of cardiovascular disease?
C.I-16. Discuss autologous transfusion and blood conservation for cardiac surgery.
A.16. What is the treatment for methemoglobinemia and carboxyhemoglobinemia?
A.6. Describe the different types of sickle cell crisis.
C.3. What is a laser and how does it work?
C.II-9. What are the advantages and disadvantages of hemodilution?
Phospholine Iodide
Physostigmine
C.16. What is your approach to emergence? What if the patient does not regain consciousness?
A.10. Are topically applied ophthalmic medications absorbed systemically? How can this absorption be reduced? Which eye drops can have effects that are of concern to the anesthesiologist?
Pindolol
Pipecuronium
PMS
Potassium chloride
Hypertension
B.6. The surgery was postponed for 6 weeks. The patient presents for surgery again, currently on a regimen of metoprolol, aspirin, atorvastatin, captopril, hydrochlorothiazide, and potassium chloride. Their BP is 160/60 mm Hg and potassium 4.0 mEq/L. Would you premedicate this patient?
Prasugrel
Prazosin
B.14. What is the pharmacologic management of CRPS?
A.14. What is the mechanism of action of the major antihypertensive drugs?
B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery?
Precose
Prednisone
Asthma and Chronic Obstructive Pulmonary Disease
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
D.10. How would you manage this patient in the intensive care unit?
A.7. What treatments are available for a patient with MG?
B.15. The patient was on 20 mg of prednisone per day for 5 days as part of the treatment of an asthma exacerbation 3 months ago. He is currently not on corticosteroids. Should the patient receive "stress-dose" corticosteroids?
B.3. What are the preoperative concerns of induction immunotherapy and neoadjuvant chemotherapy?
D.2. What are immunosuppressive agents, and how do they affect anesthetic care?
Paclitaxel
Pentazocine
Persantine
Phenelzine
Pilocarpine
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