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One Lung Ventilation Watch peak pressures, consider low volumes 4-7cc/kg, keep dry, think lung injury, Hypoxemia Rx: 1. Check tube 2. CPAP 3. PEEP 4. DLV 5. Clamp PA
OSA Outpatient Surgery (1) Patient/case – UPPP and T/A under 3 should be inpatients.(2) Precautions – OSA outpts should have emergency airway equipment available. (3) Monitoring – 3 hrs longer for OSA patients, continue 7hrs after the last episode.
Cirrhosis hyponatremia, hypokalemia (RAAS, diuretics), hypoglycemia, hypocalcemia
TIPS shunts hepatic vein to portal vein, Complic: hemolysis, thrombosis, occlusion, worsened encephalopathy
Hepatorenal syndrome Path: Intense prerenal azotemia from hemorhage, sepsis, etc. Rx: supportive care, mitodrine (alpha 1 agonist), octreotide (somatostatin), TIPS, dialysis
Factor 8 and 9 transfusion F8 50U/kg to 100% levels, F9 100U/kg to 100% levels
Created by: phatkev