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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Lisinopril
A.14. What is the mechanism of action of the major antihypertensive drugs?
Ambulatory Surgery
B.10. What instructions should the patient be given with regard to continuing or discontinuing lisinopril in the perioperative period?
B.7. If the patient who is on lisinopril develops hypotension intraoperatively, how would you manage it?
Ischemic Heart Disease and Coronary Artery Bypass Grafting
Lithium
A.12. What are the usual lifespans of PPMs and implantable cardioverter-defibrillators (ICDs)?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
D.1. The patient is extremely agitated upon emergence. Discuss the risk factors for postictal agitation (PIA) as well as the therapeutic options.
Lopressor
Lorazepam
B.11. Discuss the management of eclampsia.
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?
C.3. How does the liver disease affect intraoperative medication management?
Lubiprostone
Luminal
A.1. What is triple-vessel CAD? Name the branches of the coronary arteries.
A.13. What is postextubation croup? How is it managed?
A.3. What is percutaneous coronary intervention (PCI)? Discuss its indications, contraindications, and results.
A.5. What are the causes and effects of bowel distension?
A.5. What is the pathophysiology of essential hypertension?
Lymphocyte immune globulin
A.9. How are immunosuppressive drugs managed in kidney transplant recipients?
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
Magnesium
Mannitol
Meperidine
Mepivacaine
B.11. What factors determine the onset, potency, and duration of local anesthetic block?
Brachial Plexus Block
C.17. What is the expected duration of brachial plexus block with 30 mL of 1.5% mepivacaine with 5 µg/mL epinephrine?
C.2. What is the systemic toxicity of local anesthetics?
C.4. Discuss the commonly used local anesthetics for labor analgesia.
D.2. In the postanesthesia care unit, the patient complains of dyspnea. How would you evaluate and manage this?
Mestinon
A.7. What treatments are available for a patient with MG?
Myasthenia Gravis
Metformin
A.5. How are the different forms of DM treated?
B.5. For elective surgery, how are DM medications and glucose requirements managed in advance of surgery?
C.4. How is hyperglycemia treated intraoperatively?
Diabetes Mellitus
Ischemic Heart Disease and Coronary Artery Bypass Grafting
Methadone
Methergine
Methicillin
Methohexital
A.1. What are the indications for ECT?
Asthma and Chronic Obstructive Pulmonary Disease
C.3. Would you use propofol for induction of anesthesia?
C.4. Would you use thiopental, methohexital, etomidate, or ketamine for induction of anesthesia?
C.5. How would you proceed with an induction of anesthesia for this procedure?
C.9. Would you consider the use of etomidate as an induction agent or prefer the use of propofol?
D.1. What are the common causes of nausea and vomiting in outpatients?
Methotrexate
methylene Blue
A.12. What is neuroleptic malignant syndrome (NMS)? What is serotonin syndrome?
A.13. What can affect the accuracy of a two-wavelength pulse oximeter?
A.16. What is the treatment for methemoglobinemia and carboxyhemoglobinemia?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
B.7. If the patient who is on lisinopril develops hypotension intraoperatively, how would you manage it?
C.2. How is open repair of thoracic aneurysms performed?
C.3. An arterial blood gas shows a Pao2 of 250 mm Hg and a hemoglobin saturation (Sao2) of 85%. How would you treat this?
C.7. What factors affect the measurement of oxygen saturation by pulse oximetry?
C.7. What special endotracheal tubes (ETTs) are available for laser surgery?
C.9. What are the devices that anesthesiologists place in the upper gastrointestinal canal during laparoscopic bariatric surgery? Are there risks associated with placement and management of these devices?
C.II-12. How would you treat hypotension during CPB?
D.10. How would you manage this patient in the intensive care unit?
Methylergonovine
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?
Hypertensive Disorders of Pregnancy
Methylprednisolone
A.5. What are the principles of perioperative donor management?
B.16. Should patients with reactive airway disease receive preoperative corticosteroids?
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
C.13. In the middle of surgery, peak inspiratory pressure (PIP) suddenly increases. How do you manage this?
C.2. How is open repair of thoracic aneurysms performed?
C.4. What should be done about intravenous (IV) fluid replacement? Should corticosteroids be given empirically?
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
D.10. How would you manage this patient in the intensive care unit?
G.2. What is the adjunctive medical therapy for ARDS?
Metoclopramide
Metoprolol
Metronidazole
Metyrosine
Mexiletine
Micronase
Midazolam
Miglitol
Milrinone
B.2. How would you optimize this patient's cardiovascular status before definitive diagnosis and treatment?
B.2. What immediate treatment should be given to improve respiratory status preoperatively?
B.4. What are the effects of inhaled nitric oxide (NO) on the pulmonary and systemic circulations?
B.5. What is the current role of extracorporeal membrane oxygenation (ECMO) in the management of CDH?
C.10. How would you diagnose right-sided heart failure and pulmonary hypertension? How would you treat it?
C.2. How would you induce and maintain anesthesia?
C.4. How would you manage this patient during cardiopulmonary bypass (CPB)?
C.6. Following removal of approximately 500 mL of dark blood and clots from the mediastinum, the patient's CO remains low. What are your differential diagnoses?
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?
C.II-36. How would you decide the need for inotropic support?
D.1. How is myocardial ischemia addressed in the intensive care unit (ICU) following the ASO?
D.3. How would you treat RVF following heart transplantation?
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