1. Someone has a PCN allergy, which abx can they get?:
Answer Vanc, clinda, somecephalosporins (1-10% chance of reaction). Can't give
Amoxicillin.
2. Patient normally on steroids, how should manage preoperatively?:
Answer
Continuetaking normal dose.
Consider stress dose 100mg solucortef.
Discuss with surgeon.
3. What is a major preoperative consideration with anticonvulsant medications?:
Answer They increase the metabolism of other drugs. (inducers)
4. What is an intraoperative consideration for a patient taking MAO inhibitors?-
Answer May cause drastic HTN with use of ephedrine and meperidine
5. How long should a patient have stopped smoking in order to decreasepostoperative
complication rate?:
Answer 4 weeks
6. How do chronic/acute alcohol use affect anesthetic requirement?:
Answer
Chronic,increased requirement
Acute, increased requirement
7. What is a normal thyromental distance?:
Answer 3 finger breadths or 7cm
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