Respiratory
Name two signs/symptoms of Obstructive Sleep Apnea
loud snoring, hypertension, nocturia, esophageal reflex, depression, excessive sleepiness
name two s/s of patients with hypotension
dizzy, confusion, nausea, diaphoretic
What is a common lab test for a patient experiencing chest pain
What is serial troponins or cardiac enzymes
What electrolyte imbalance can cause peaked T waves and widening QRS complex
What is Hyperkalemia
What is the most common site of pulmonary aspiration?
Right Lung
The right primary pulmonary bronchus is wider and has a straighter angle than the left bronchus.
This body response raises the body core temperature by increasing the metabolic rate and generating heat
What is shivering
What lab tests are used for assessment of the coagulation cascade
Prothrombin time and partial thromboplastin time
Patients at increased risk for PONV
female, non smoker, hx of motion sickness
What is the primary stimulous to ventilation
The drive to breathe comes from the need to remove CO2
What are three elements included in a baseline postoperative neurological assessment
vital signs, LOC, pupillary response, skin color, temperature
Side effects of this anti nausea treatment include confusion, disorientation, hallucination, sedation, dry mouth, visual disturbances.
What is Scopolamine patch
A sudden increase in end tidal CO2 may be an indication of this
Malignant Hyperthermia
Most commonly presenting symptom associated with MH.
Signs and symptoms of this condition include dyspnea, tachypnea, chest pain, tracheal deviation, and decreased or absent breath sounds.
What is pneumothorax.
What factors can increase risk of pneumothorax?
Resistance to the ejection of blood from the ventricle.
What is afterload
A patient experiences chest wall rigidity during the administration of moderate sedation. What is the drug most likely associated with this incident?
Fentanyl
Rapid IV injection of Fentanyl may trigger bronchial constriction and chest wall rigidity, commonly called fixed chest syndrome
In the initial Post-op period, characterized by restlessness, inappropriate behavior, crying, moaning, disorientation, irrational speech
Emergence Delerium.
You will want to rule out hypoxemia, anxiety, medications, pain, bladder distension, anesthesia as causes.
Increased PaCO2 above the normal range would indicate this condition
Respiratory acidosis
What is Becks Triad
Signs of cardiac tamponade- increased central venous pressure, muffled heart tones, and pulsus paradoxus.
What is pulsus paradoxus?
This drug reverses the anticoagulant effects of heparin by binding to it.
What is Protamine
s/s include drooping of upper eyelid, contraction of pupil on affected side, increased salivation, drooping of mouth on affected side.
What is Horner's Syndrome