You are the Father (OB)
Dermatone level required for C section
T10
What characteristic determines how potent a local anesthetic is?
Lipid Solubility
What is the equation for BMI
body wt (kg)/ht 2(meters)
Induction dose of Etomidate
0.2 -0.4 mg/kg
The rate of Hoffman elimination is determined by which two factors
pH and Temperature
Cardiac output increases how much during pregnancy?
Looking for %
30-50%
What characteristic determines onset?
PKA
is BMI or Neck circumference a higher predictor of a difficult intubation?
Neck circumference
what is the PO dose of Ketamine
10mg/kg (I have given this with Stanlies for a Haluch patient)
Sensitive to non depolarizing and Resistance to Depolarizing
What is HELLP syndrome
Hemolysis, Elevated Liver enzymes, Low Platelets
What characteristic determines duration of action
protein binding
A patient post MVA is on a propofol gtt for ventilator sedation. They develop mild metabolic acidosis with an elevated CPK level. The EKG reveals a Brugada-like pattern. What is a high level of suspicion
PRIS..Propofol related infusion syndrome
Please give me a drug that is a weak base and give me one that is a weak acid?
Weak Base: LA, ketamine, opioids, benzos
Weak Acid: Barbiturates and Propofol
During a C-section, your pre-eclampsia patient experiences uterine atony despite pitocin. Whats your next line of drug?
Hemabate. Can not give methergine due to HTN
bonus...what contraindication is for hemabate
Please give me two reasons why you would want to add Epi to a LA
1 prolong duration of action
2 permit larger amount
3 decrease toxicity by decreasing absorption
PONV is more common with what induction agent?
etomidate results in higher PONV than any other induction agent (incidence up to 30 – 40%).
What does the HHH therapy stand for in the treatment of vasospasm for SAH (Sub Arachnoid Hemorrhage)?
Hypertension, Hypervolemia, Hemodilution
With a high spinal, what dermatone level will create numbness with the little and ring fingers ?
C8
What is Dibucaine and what is it used for ?
It is a LA that correlates with succinylcholine sensitivity. a Number of 80 related to a normal sensitivity to Sux, while 20 would indicate a prolong relaxation due to an enzyme related pseudocholinesterase deficiency
Propofol has a 90% clearance by the cyp450 system, what is the other 10%?
Lungs
What is Derek Rosner's intubating dose of succinylcholine ?
the full stick
or as much as you hand him
as much as possible