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Principles II - Exam II - URI slides 1-6
It was a clear black night...
6
Nursing
Graduate
10/15/2009

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Cards

Term
How are the old school thoughts on elective cases for pts with URI different from new school thoughts?
Definition

OLD SCHOOL - cancel case

 

NEW SCHOOL - URI increases risk but complications can be anticipated and maybe we should do the cases.

Term
What bad stuff can happen with URIs (anesthesia impications)?
Definition
  1. Bronchospasm
  2. Fast SaO2 drops
  3. Lower post-op PaO2
  4. Laryngospasm
  5. Breath holding
  6. Severe coughing
Term
Anesthetic problems can be predicted based on the type of AIRWAY as well as the type of ANESTHETIC AGENT used. List, from greatest to least (most risk to least risk), the airways and agents associated with risk for the URI patient.
Definition

ETT>LMA>FACE MASK

 

Pentothal>Sevo>Propofol

Term
In addition to increased risk for URI patient associated with airway and type of agent used, other patient related factors demonstrate increased risk. What are these 5 factors?
Definition
  1. Parent says child has a cold
  2. snoring history
  3. Passive smoke exposure
  4. Presence of sputum and nasal congestion
  5. muslce relaxant not reversed
Term
Is waiting 6 six weeks after a patient has a URI always freasible?
Definition

No. Kids in daycare are sick all the time. If a child has 9 URIs a year and you wait 6 weeks for each...

 

9*6=54 weeks

Term
The dude with most of his hair and no glasses says that if a patient has severe symptoms you should postpone the procedure for 4 weeks...What does this dude consider to be severe symptoms?
Definition
  1. Mucopurulent secretions
  2. Productive cough
  3. Fever
  4. Lethargy
  5. Signs of pulmonary involvement
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