SOLUTIONS GRADED A+
✔✔Healing wound stages - ✔✔Inflammatory- during surgery
Proliferative- 5-14 days contraction
Remodeling- 2-4 weeks up to 1 year
✔✔Hyperkalemia - ✔✔MURDER
muscle weakness
urine oliguria/anuria
respiratory distress
decrease cardiac contractility
ECG changes T wave flattened
reflexes flaccid
✔✔Hypokalemia - ✔✔6 L's
lethary
lethal cardiac dysrhythmias
leg cramps
limp muscles
low shallow respirations
lots of urine
✔✔Hypernatremia - ✔✔SALT
skin flushed
agitation
low grade fever
thrist
✔✔hyponatremia - ✔✔SALT
stupor/come
anorexia
lethargy
tendon reflexes decreased
✔✔hypocalcemia - ✔✔CATS go numb
convulsions
arrythmias
tetany
spasm/stridor
✔✔fascultations - ✔✔depolaritity from Succycholine skeletal muscle contractions
✔✔PONV receptors - ✔✔DASH
dopamine, acetylcholine, serotonin, histamine
, ✔✔Best choice of anesthesia for pediatrics - ✔✔sevoflurane
✔✔toxicity of anesthetics local surgery - ✔✔tinnitus, metallic taste, oral numbness,
shivering
✔✔MH rescue medications - ✔✔dantrolene- muscle relaxant
sodium bicarbonate- metabolic acidosis
No channel blockers
hyperkalemia common side effect
✔✔Jehovah witness not blood transfusion what fluid choices - ✔✔volume expanders
(colloids and crystalloids) and an auto transfusion device
colloids- albumin, dextran, and hespan
crystalloids-normal saline and lactated ringers
✔✔26 pounds is how many kg? - ✔✔11.8 kg
✔✔IVS monitoring - ✔✔monitor R, BP, HR, rhythm, O2, LOC and skin condition
every 15 minutes and after every drug administration
✔✔Versed normal range - ✔✔initial dose is 1.5-2 mg not to exceed 2.5mg
✔✔radiation protection 3 principles - ✔✔time, distance and shielding
✔✔conversion of Celsius to fahrenheit - ✔✔multiply 1.8/add 32
✔✔conversion of fahrenheit to celsius - ✔✔subtract 32/divide 1.8
✔✔Hyperkalemia in MH patient is treated with - ✔✔insulin must be refridgerated) and
dextrose 50%
calcium chloride or calcium gluconate (treats life threatening hyperkalemia)
✔✔medications to treat arrhythmias in MH - ✔✔lidocaine,amiodarone, beta blockers
DO NOT use calcium channel blocking agents or Lactated Ringers
✔✔humidity in OR and Pacu - ✔✔30-60% and below 70% in storage room
✔✔HGB and HCT values - ✔✔12-16 and 38-47%
✔✔Na values - ✔✔136-145
✔✔K+ value - ✔✔3.5-5