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Exam Review 8 - 0 Right atrial/ventrical masses 0 Tetralogy...

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Unformatted text preview: 0 Right atrial/ventrical masses 0 Tetralogy of Fallot RELATIVE: 0 Severe dysrhythmias o Coagulopathy o Newly inserted pacemaker wires Normal Tidal Volume: 0 3-5 cc/kg 0 set vent at IOCc/kg x 10 breaths/min Ideal Body Weight: Female - o 100 lbs for 5 a ”“5 o 5 lb/inch after 5 ft Male 0 105 lbs for 5 ft lav t (I o 61b/inch after 5 fl Serum Osmo: 0 (Na K 2) + (glucose/ 18) + (BUN/2.8) = (285—307) Blood Losses During OR: o Craniotomy .................... 800 o Radical Neck .................. 500 0 Simple Mastectomy ..... ‘ ..... 2 00 o Pneumonectomy ............. 1500 o Vagotomy ...................... 250 o Appendectomy .................. 50 o Ventral Hernia ................. 250 o 'Nephrectomy ................... 500 0 Bone Grafts (upper ext.) ......700 Peripheral Nerve Stimulation: 0 Single twitch: stimuli applied at </= O lSHZfor0.2msec o Tetanic rates: stimulus applied at 50 — 200 HZ for 5 seconds v 0 Train of Four:"“*stimulus applied at 2 HZ for 2 seconds (4 twitches/0. 5 seconds apart) - Compare 4th response to 1St — Elimination of the 4th twitch corresponds wit ha 75% block - 1111 2 70 % block - 111 z 75 % block - H ~ 80 % block - I ~ 90 % block mm 0 Post Tetanic count: series of stimulation at 1 HZ (beginning 3 seconds after a 5 second 50 HZ tetanus). The > the # of twitches, the closer you are to ‘A on TOF. 20 twitches almost equal V4 on TOF . Consequences of HYPERthermia: Increased 02 demand C Resp and Met Acidosis Increased ventilatory work 0 Hypovolemia d/t evaporation o HYPOGLYCEMIA 0 MH Consequences of HYPOthermia: o Decreased 02 availability f6 {(5st o Slowing of metabolic dependant processes 0 Decreased drug biotransformation o Impaired Renal Transport process 0 Altered membrane excitability ...
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