Term
What is the time for onset of hypotension in the 20-29 yr old group after propofol induction? |
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Definition
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Term
What is the time for onset of hypotension in the 70-85 yrs old group after propofol induction? |
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Definition
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Term
For induction of the elderly over 65 yrs-if you are give a propofol bolus w/out concurrent drugs what is your dose?
w/ concurrent drugs? |
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Definition
1.0-1.5 mg/kg w/out concurrent drugs
0.5-1.0 mg/kg w/ concurrent drugs |
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Term
When does hypotension peak after propofol induction in the elderly?
Fentanyl?
Midazolam? |
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Definition
Propofol-10 min
Fentanyl-6-8 min
Midazolam-5 min |
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Term
What do you want your BIS at in the elderly? & why? |
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Definition
50-60 is better than 30-40
because of lower death rates & lower POCD |
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Term
What is the dose for NDMR in the elderly? When would you see longer onset times? |
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Definition
the dose is the same as the younger patients
You will see longer onset times w/ advanced age |
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Term
Which muscle relaxant is the exception to longer duration in the elderly? |
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Definition
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Term
Name four things that contribute to longer duration of neuromuscular blocking agents in the elderly? |
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Definition
Advanced age
intraoperative hypothermia
DM
Obesity-dosing mg/kg |
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Term
Whats the deal w/ your TOF w/ Vecuronium & the diabetic elderly pt? |
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Definition
It takes them longer to recover the older they are.
*these graphs are stupid* |
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Term
Whats the deal w/ hypothermia & recovery from Vecuronium? |
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Definition
As you become more hypothermic, your muscle relaxant will last longer.
*again these graphs are stupid* |
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Term
What is the transfusion trigger for the elderly? |
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Definition
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Term
Name three things you should do to maintain coronary perfusion? |
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Definition
Keep your DP at least 2/3rd SP
keep your DP greater than the pulse pressure
Keep the DP at least 60 mmHg |
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Term
What does a decrease in your DBP most closely correlate to? |
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Definition
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Term
In the elderly, what is more important than Preop testing, CXR, PT, PTT? |
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Definition
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Term
To improve Anesthesia in older patients, what should you do w/ your inhaled & iv agents? |
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Definition
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Term
Name the two muscle relaxants that have the "better profiles" for use in the elderly? |
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Definition
Rocuronium & cisatracurium |
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Term
Do beta-blockers improve anesthesia in older patients? |
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Definition
Yes, but only if they are used pre-intra & post operatively |
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Term
What can you do w/ your FiO2 for the older patient? |
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Definition
Use higher FiO2 intra-, post-op |
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Term
What should your target blood glucose be perioperatively in the elderly? |
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Definition
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Term
What considerations should you take in regards to opioids and the elderly? |
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Definition
reduce post-op requirements
use alternatives such as NSAIDS, epidurals or local |
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