Is this a normal gas? Newborn umbilical vein 7.35/40/30
ABG’s They will just show you a gas and ask what you should do. Nothing, intubate, give bicarb, leave room. Uvein as before, Uart 7.28/50/20 (remember the weird fetal circ), 60 mins 7.35/30/60, 24 hrs 7.35/30/70, Adult and child 7.4/40/100.
How much blood does Vera have? Neonate 0-30 days -- 85cc/kg Infant 1-12 months – 80 cc/kg Child 1-12 years – 75 cc/kg Adult 70 cc/kg
A guy gets a retrobulbar block and like five minutes later you are reading your wall street journal and the patient brady’s down to asystole. Note: They can go right to asystole they don’t really need the brady part. What just happened?
Occular cardiac reflex, probably from retrobulbar hematoma
What happens when we let the medical student do the retrobulbar block and the patient gets all apneic but no cardiac or seizure symptoms?
That stuff is floating in the CSF and they have brainstem anesthesia aka high spinal
You will have to calculate the fluid balance for someone. Either child or adult. Remember the 4,2,1 rule. They will just say a patient had this procedure and had this fluid was it adequate?
Pt takes dig and needs emergent operation. Potassium is 3.0. Is that ok?
Give KCl and go to OR. Dig tox comes from: Hypokalemia (hey how fast can you give this stuff?) Hypothyroid Hypomagnesemia Hypercalcemia Renal failure (#1 answer Bob)
Classic Old guy s/p chole or colectomy or something. He is having ischemic ST segment changes and is shivering in PACU. BP 220/120 HR 120. What are you going to do first?
10 y/o male with DMD comes to PSE for his upcoming whatever. What test does he need?
ECHO, these guys die from heart failure. They have cardiomyopathies and atrophy of cardiac muscle. The second important system is pulm. They can not cough because they are too weak. They also die from pnuemonia.
At least one airway question. How can I block it so I can do my awake fiberoptic without all that messy lidocaine nebulization?
Glossophyngeal Superior laryngeal Recurrent laryngeal Secret nose nerve for Dr. Gordon and our friends at the ABA.
Hey doc, got a minute? Ask me about the circle system and the circuits that I for sure will have to identify at my exam.
Blocks are like 15 questions or so. Those have to be free points for you. They are going to ask some thing weird that you will loose valuable points on so get these correct. Come to part Dos next week.