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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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NovoSeven
C.11. What is the role of recombinant activated factor VII (rFVIIa) in the hemorrhaging obstetric patient?
C.21. What concentrated factors and hemostatic agents are available for bleeding patients?
NPH
A.5. How are the different forms of DM treated?
C.III-4. What is a protamine reaction? How can you prevent it? How do you treat it?
Ondansetron
B.1. What are the rationales for integrating acupuncture in the treatment of PONV?
B.11. What is an enhanced recovery after surgery (ERAS) protocol, and how would you apply it in the outpatient setting?
B.5. How would you premedicate this patient?
C.5. What is your plan for maintenance of anesthesia? What other medications might you want to give?
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
D.1. What are the major concerns following craniotomy?
D.2. How would you pharmacologically prevent PONV in the susceptible ambulatory patient?
D.3. What is the incidence of postoperative nausea and vomiting (PONV)?
Onglyza
Opium
B.3. What is the difference between morphine and synthetic opioids?
D.2. In the postanesthesia care unit (PACU), the patient complains of numbness and weakness of the lower extremities after 6 hours of anesthesia for robotic prostatectomy. What tests will you order? When would you remove the Foley catheter and arterial line? Under what circumstances would you order a chest radiograph?
Oxcarbazepine
Oxycodone
B.11. What is tramadol? Is it an opioid?
B.14. Describe the different routes of opioid administration.
D.3. How would you control postoperative pain in patients following a cleft lip and cleft palate repair? Describe a multimodal analgesic plan including regional anesthesia options.
D.4. How is postoperative pain treated?
Nerve Blocks of the Lower Extremity
Sickle Cell Disease
Oxymetazoline
Oxymorphone
Oxytocin
A.10. Does this patient have any risk factors for uterine rupture?
C.10. What is the effect of the inhalation agents on uterine contractility?
C.6. After delivery of the placenta in a cesarean delivery, what maneuvers and drugs can enhance myometrial contractility and therefore decrease blood loss?
C.7. What technique could you use for general anesthesia in this patient?
C.9. Should methylergonovine be given to patients with preeclampsia?
Paclitaxel
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?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
Burns
C.1. What drugs should be avoided during the operation?
C.10. Which neuromuscular blocking agents would you use? Why?
C.12. How does burn injury affect the dosing of nondepolarizing neuromuscular blocking agents?
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. How are nondepolarizing neuromuscular blockers affected by renal failure?
C.5. What neuromuscular blocking agent would you choose?
C.8. How would you maintain anesthesia?
Papaverine
A.17. Describe the operative procedure of kidney transplantation.
C.1. Are a central venous pressure (CVP) catheter, an arterial catheter, and a pulmonary artery catheter required for the transplant procedure?
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
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
Pentazocine
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
Persantine
Pethidine
Phenelzine
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.14. What is the pharmacologic management of CRPS?
B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery?
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?
B.15. What is the role of intravenous regional block (Bier block) in diagnosis and treatment of CRPS?
C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension?
C.4. What drugs are used to control the effects of catecholamine stimulation during surgery?
Phenylephrine
Phenytoin
A.13. What changes occur in hepatic function? What are the anesthetic implications of such changes?
A.2. What is the underlying pathology?
B.4. Are there anesthetic implications from current treatment drugs?
B.6. What drug therapy is the treatment of choice for seizure prophylaxis?
B.9. What precautions should be taken for airway management?
C.15. What therapeutic measures are recommended for patients with TURP syndrome?
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.16. What is the treatment for methemoglobinemia and carboxyhemoglobinemia?
A.5. What electrolyte imbalances occur in patients with impaired renal function, and how are they treated?
A.6. Describe the different types of sickle cell crisis.
A.7. Are patients with renal disease at increased risk of cardiovascular disease?
C.3. What is a laser and how does it work?
C.I-16. Discuss autologous transfusion and blood conservation for cardiac surgery.
C.II-9. What are the advantages and disadvantages of hemodilution?
Phospholine Iodide
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