I wanna be sedated
Relax! Don't do it
Comfortably Numb
Every breath you take
Do you really want to hurt me?
100
The classification of drugs including Versed, Valium, and Ativan. Used in conscious sedation for their amnesic properties.
What are benzodiazepines
100
Commonly used in rapid sequence intubation for paralysis (include class of drug)
What is Succinylcholine and Depolarizing agent
100
Lidocaine and Bupivacaine are examples of this class of local anesthetics
What are amides
100
This is the smallest concentration of inhalation agent at which 50% of patients will not move with incision
What is MAC (minimum alveolar concentration) Small MAC-->more lipid soluble=more potent speed of induction is inversely proportional to solubility
100
These are the most common immediate post operative issues
What nausea and vomiting
200
A sedative hypnotic that produces a cortical depression of very short action. Often used in our setting for intubated patients.
What is Propofol
200
Caused by a defect in calcium metabolism, Malignant Hyperthermia is a potential side effect of succinylcholine. This drug is used as a treatment of malignant hyperthermia.
What is Dantrolene (10 mg/kg)
200
This is the mechanism of action for local anesthetics
What is increase action potential threshold by preventing Na influx.
200
These are common effects of inhalation agents
What are myocardial depression, increase cerebral blood flow, and decreased renal blood flow
200
A patient with partial exposure of the uvula upon opening of the mouth would have a classification of this
What is Mallampati Class 2
300
Onset of this sedation medication is noted when nystagmus and an open-eye gaze develop. Analgesic ans amnestic properties, popularly used to sedate children.
What is Ketamine
300
Rocuronium and Pancuronium are examples of non-depolarizing agents, this is mechanism of action.
What is inhibition of the neuromuscular junction by competing with acetylcholine.
300
Sign of intravascular injection for lidocaine with epinephrine
What is tachycardia
300
Most reliable measurement of tracheal intubation
What is end tidal CO2
300
"Angina equivalents" such as hypotension, arrhythmias, elevated filling pressures, or post operative oliguria are signs of this.
What is Myocardial Ischemia
400
A short acting intravenous anaesthetic agent used for the induction of general anaesthesia and for sedation and for short procedures such as reduction of dislocated joints, tracheal intubation, and cardioversion.
What is Etomidate
400
This medication is given as a reversal agent for non-depolarizing agents by blocking acetylcholinesterase, increasing acetylcholine in the NMJ.
What is Neostigmine
400
This is given for local anesthetic toxicity
What is intralipid
400
The PaO2 must drop below this value to show a drop in the SpO2 (in mmHg)
What is 80mmHg
400
This is a complication of spinal or epidural anesthesia, include the treatment
What is Spinal Headache (Post Dural Puncture Headache), IV fluids, NSAIDs, Caffeine, bed rest, blood patch in extreme cases
500
Antagonist agents used to reverse the pharmacologic effects of the sedation medications administered.
What are Narcan (Naloxone) and Romazicon (Flumazenil)?
500
This drug is given with Neostigmine to counteract effects of generalized acetylcholine overdose. (give mechanism of action, and specific effect it is trying to prevent)
What is Glycopyrrolate, muscarinic anticholinergic, Bradycardia
500
This is the maximum dose of lidocaine 1% with epinephrine that can be given to a 70 kg man. (in mL)
What is ~49mL 7mg/kg 1% Lido (10mg/mL) 7mg/kg x 70kg = 490mg 490mg / 10mg/mL = 49mL
500
Sudden hypercapnea and hypoxia during insufflation of the abdomen for laparoscopic surgery are indicative of this.
What is venous air embolism
500
These operations are considered high risk for cardiac risk stratification in non-cardiac surgery
What are emergent major operations (elderly), aortic and other major vascular surgery, peripheral vascular surgery, prolonged procedures w/ large fluid shifts/blood loss. Intermediate: CEA, Head and neck, intraperitoneal and intrathoracic, orthopedic, prostate Low: Endoscopic, superficial, cataract, breast
M
e
n
u