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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Daclizumab
Dantrium
C.6. Twenty minutes into the procedure with sevoflurane anesthesia, the patient develops increasing tachycardia with ventricular premature beats and mottled skin. What emergency measures should you take?
C.9. How does the new formulation of dantrolene (Ryanodex) compare with the previous formulations of dantrolene (Dantrium or Revonto)?
Malignant Hyperthermia
Dantrolene
Dapsone
Daunorubicin
Asthma and Chronic Obstructive Pulmonary Disease
B.19. If the patient is a 90-year-old with an order of Do-Not-Resuscitate (DNR), how would you discuss the management of a perioperative DNR order with the patient and family?
DDAVP
A.3. What is the treatment for a patient with von Willebrand disease?
A.5. What are the principles of perioperative donor management?
B.6. Should this patient be transfused with fresh frozen plasma (FFP) prior to surgery?
Demerol
Desmopressin
A.3. What is the treatment for a patient with von Willebrand disease?
A.5. What are the principles of perioperative donor management?
B.6. Should this patient be transfused with fresh frozen plasma (FFP) prior to surgery?
Dexamethasone
Dexmedetomidine
Dextromethorphan
Dextrose in water
A.5. What electrolyte imbalances occur in patients with impaired renal function, and how are they treated?
C.4. Why are hypertonic fluids used during a craniotomy?
C.II-14. How do you prepare an intravenous (IV) infusion of sodium nitroprusside, nicardipine, and nitroglycerin? What are the usual doses? Which do you prefer to use?
Dextrose
Diazepam
A.2. What are the nonsurgical treatment options for back pain?
B.1. What aspects of the patient's history and physical exam are most important in formulating your anesthetic plan?
B.11. Discuss the management of eclampsia.
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
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?
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?
C.3. How does the liver disease affect intraoperative medication management?
C.3. How do you treat systemic toxicity of local anesthetic drugs?
C.8. What are the effects of ketamine on the eye?
Major and Complex Spine Surgery
Myasthenia Gravis
Dibenzyline
Dibucaine
A.5. If succinylcholine were the only NMBA used during the case and the patient did not exhibit a response to TOF stimulation, what is the likely diagnosis? How would you confirm it?
A.6. What are acetylcholinesterase and plasma cholinesterase? What is the clinical significance of heterozygosity for atypical pseudocholinesterase (PChE)?
Didanosine
A.6. How many modes of pacing are available in modern PPMs? How do they work? What is the difference between DDD pacing and DDI pacing?
Cardiac Implantable Electronic Devices
Dideoxyinosine
A.6. How many modes of pacing are available in modern PPMs? How do they work? What is the difference between DDD pacing and DDI pacing?
Cardiac Implantable Electronic Devices
Diethylstilbestrol
A.3. What is percutaneous coronary intervention (PCI)? Discuss its indications, contraindications, and results.
A.5. What are the risk factors for perioperative myocardial infarction (MI) in patients with ischemic heart disease? What can be done to reduce the risk of ischemic events in these patients?
A.7. Based on his history, would you recommend that this patient's surgery be postponed for a certain period? If so, why?
B.2. What is the role of cardiac stress testing and noninvasive coronary imaging for this patient?
B.4. What types of coronary stents are available? What is their perioperative relevance?
B.5. How should this patient's antiplatelet therapy be managed perioperatively?
B.5. What is the conventional recommendation for dual antiplatelet therapy (DAPT) in a patient with previous percutaneous coronary intervention (PCI) undergoing elective noncardiac surgery?
B.7. How should patients with coronary stents undergoing noncardiac surgery be managed?
Ischemic Heart Disease and Noncardiac Surgery
Transurethral Resection of the Prostate and Geriatric Anesthesia
Digoxin
A.19. If mitral stenosis is first recognized during pregnancy and symptoms develop, how would you treat the patient?
A.8. Would you give digitalis to treat congestive heart failure in preterm infants? Why?
B.4. Should hypokalemia be treated before anesthesia? Why?
B.4. What preoperative laboratory testing is necessary for surgical outpatients?
B.7. How would you optimize the preoperative treatment of HF?
C.1. What are some of the anesthetic options for this patient?
C.9. Would this patient benefit from the use of -blockers?
Dilaudid
Diltiazem
A.14. What is the mechanism of action of the major antihypertensive drugs?
A.6. Which perioperative medical therapies would you employ to reduce the incidence of myocardial ischemia?
C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension?
C.11. What could you do to prevent hypertension during tracheal extubation and emergence?
C.11. When would you extubate the trachea in this patient? What could you do to prevent hypertension and tachycardia during extubation and emergence?
C.3. By what means would you attempt to maximize hemodynamic stability?
C.6. Twenty minutes into the procedure with sevoflurane anesthesia, the patient develops increasing tachycardia with ventricular premature beats and mottled skin. What emergency measures should you take?
C.II-14. How do you prepare an intravenous (IV) infusion of sodium nitroprusside, nicardipine, and nitroglycerin? What are the usual doses? Which do you prefer to use?
D.1. The patient developed hypertension, BP 210/110 mm Hg, in the postanesthesia care unit. What would you do?
E.11. What are the significant implications of posttransplant hypertension?
Dimenhydrinate
Dinoprostone
A.6. What are the potential sources of pain in the spine?
A.9. How does indomethacin help in the closure of the ductus? What are the adverse effects of indomethacin? What are other pharmacologic options?
A.9. How is ductal patency maintained?
C.6. After delivery of the placenta in a cesarean delivery, what maneuvers and drugs can enhance myometrial contractility and therefore decrease blood loss?
Diphenhydramine
A.2. What are the normal physiologic consequences of aging for the various organ systems?
A.3. How should drug dosages be adjusted for older patients? Should any particular medications be avoided?
B.2. Would you premedicate this patient? If so, how?
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
C.12. What is the differential diagnosis of intraoperative bronchospasm?
D.5. What are the mechanisms and risk factors for POCD? How would you mitigate the risk of POCD? Does the anesthetic technique influence the development of POCD?
Diphtheria and tetanus toxoids, adsorbed
Dipyridamole
B.2. What is the role of cardiac stress testing and noninvasive coronary imaging for this patient?
B.2. What is the significance of the preoperative ECG? Would you wish to pursue a preoperative cardiac workup? What tests would you request, and what would they tell you?
Dobutamine
Docusate
A.1. What is the problem of concern in this case?
B.4. What is the role of enhanced recovery after surgery (ERAS) in bariatric surgery? How does the public find a quality bariatric surgery team and surgical facility? What is the role of robotics in bariatric surgery?
C.1. How would you monitor this patient?
D.5. How long would you prescribe supplementary oxygen postoperatively?
Dolophine
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