Download Anesthesiology board review by Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe PDF

By Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe

Why waste time guessing at what you must comprehend for anesthesia in-service and board examination? Maximize your examination education time with this quick-hit query and solution assessment. the original query and single-answer structure gets rid of the guesswork linked to conventional multiple-choice Q&A studies and reinforces purely the right kind solutions you will need to understand on examination day. Emphasis is put on distilling key proof and scientific pearls crucial for examination good fortune. This high-yield assessment is ideal for extreme, streamlined assessment within the days and weeks prior to your examination.

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Gastric contents are the most common offender. ASPIRATION PNEUMONITIS  41 What is the antibiotic choice for gastric acid aspiration? None.  What is the role of corticosteroids in gastric acid aspiration? None.  What is the main priority in treating gastric acid aspiration? Maintenance of pulmonary oxygenation. Tracheal suctioning, intubation, ventilation and PEEP (positive end expiratory pressure) may be required. Prophylactic PEEP is not effective in preventing progression of the process. Patients with clinically apparent pulmonary aspiration who do not develop symptoms within two hours are unlikely to have significant respiratory sequelae.

A trauma patient is being transfused with type O Rh-negative blood and has already been given eight units. Type-specific blood for the patient is now available. Should you switch? If more than two units of type O Rh-negative uncrossmatched whole blood have been administered, the blood bank must determine that transfused anti-A and anti-B antibodies have fallen to levels that permit transfusion of typespecific blood. There is a risk of a major transfusion reaction if the patient has received enough anti-A or anti-B antibodies in type-O blood to cause hemolysis if A, B or AB blood is subsequently given.

Also, patients may be sensitized for up to 30 yrs after exposure.  What is the most common adverse effect of protamine administration? Of the patients receiving protamine, less than 1% develop some type of reaction. Hypotension is the most common reaction and it can be severe, especially if the medication is given too quickly or to a hypovolemic patient. These reactions are not always antibody mediated and can be due to complement activation.  What are the proposed mechanisms for protamine reactions?

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