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Exam topics covered by Mark march 9th

Exam topics covered by Mark march 9th - Exam topics covered...

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Exam topics covered by Mark march 9 th *vasopressin AKA antidiuertic hormone, great if patient is catecholamine depleted because it has nothing to do with cathecholamines! *art line square wave test with assess for patency *if patient had MI 4 months ago, with stents and LV dysfunction, do you precede with ventral hernia repair, True *greatest risk in patient with CAD is a MI within 1 month LVD, True *Isoflurane shows no cardio protection – false * a stress test states area of reversible ischemia in inferior wall, _ true _ stent or bypass will be needed to supply this area and reverse ischemia *plavix should be discontinued 5-7 days before performing surgery or regional anesthesia * after induction, BP goes to 79/38 HR 120, ST segment depression > 2.0 mm; after raising BP and decreasing heart rate with neo and esmolol, now ST segment elevation >2.0mm (injury) next step alert surgeon, wake up patient, cath lab *myocardial demand leading to ischemia, most important parameters Heart rate and blood pressure * patients with CAD, goals are slow small and well perfused
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