TYK47 - Revision history

WikiSysop at 22:47, 23 January 2022

2022-01-23T22:47:37Z

← Older revision		Revision as of 22:47, 23 January 2022
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	The answer is A. Ok, so who knew this one? But I promise you its a good one. Right to left shunts will cause HYPOXIA and relative pulmonary UNDERCIRCULATION. Also, a right to left shunt will only cause a (clinical significant) slowed induction with the insoluble agents (desflurane, sevoflurane), not with the soluble agents (isoflurane, halothane).		The answer is A. Ok, so who knew this one? But I promise you its a good one. Right to left shunts will cause HYPOXIA and relative pulmonary UNDERCIRCULATION. Also, a right to left shunt will only cause a (clinical significant) slowed induction with the insoluble agents (desflurane, sevoflurane), not with the soluble agents (isoflurane, halothane).

	Local anesthetics (especially amides) are influenced by the lungs. Normally, the lungs will alter the pharmacokinetics of LA by slowing the rate of rise and influence the peak plasma concentration. The lung extraction ratio for amide local anesthetic agents is high (approximately 0.8), resulting in a difference between mixed venous and arterial concentrations. Infants with right- to-left cardiac shunts may therefore be at greater risk of toxicity. ~~Ticky~~, huh?		Local anesthetics (especially amides) are influenced by the lungs. Normally, the lungs will alter the pharmacokinetics of LA by slowing the rate of rise and influence the peak plasma concentration. The lung extraction ratio for amide local anesthetic agents is high (approximately 0.8), resulting in a difference between mixed venous and arterial concentrations. Infants with right- to-left cardiac shunts may therefore be at greater risk of toxicity. Tricky, huh?
	==Notes==		==Notes==
	<references />		<references />

WikiSysop at 22:46, 23 January 2022

2022-01-23T22:46:17Z

← Older revision		Revision as of 22:46, 23 January 2022
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	Infants with right to left intracardiac shunts may be at increased risk for which of the following?		Infants with right to left intracardiac shunts may be at increased risk for which of the following?

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	D. Slowed inhalational induction with halothane		D. Slowed inhalational induction with halothane
			<div class="mw-customtoggle-TYK_Answer" style="text-align: right; color:#0000ff">Click for Answer</div>
			<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-TYK_Answer">


	<div class="mw-collapsible-~~content~~">
	==Answer==		==Answer==
	The answer is A. Ok, so who knew this one? But I promise you its a good one. Right to left shunts will cause HYPOXIA and relative pulmonary UNDERCIRCULATION. Also, a right to left shunt will only cause a (clinical significant) slowed induction with the insoluble agents (desflurane, sevoflurane), not with the soluble agents (isoflurane, halothane).		The answer is A. Ok, so who knew this one? But I promise you its a good one. Right to left shunts will cause HYPOXIA and relative pulmonary UNDERCIRCULATION. Also, a right to left shunt will only cause a (clinical significant) slowed induction with the insoluble agents (desflurane, sevoflurane), not with the soluble agents (isoflurane, halothane).

	Local anesthetics (especially amides) are influenced by the lungs. Normally, the lungs will alter the pharmacokinetics of LA by slowing the rate of rise and influence the peak plasma concentration. The lung extraction ratio for amide local anesthetic agents is high (approximately 0.8), resulting in a difference between mixed venous and arterial concentrations. Infants with right- to-left cardiac shunts may therefore be at greater risk of toxicity. Ticky, huh?		Local anesthetics (especially amides) are influenced by the lungs. Normally, the lungs will alter the pharmacokinetics of LA by slowing the rate of rise and influence the peak plasma concentration. The lung extraction ratio for amide local anesthetic agents is high (approximately 0.8), resulting in a difference between mixed venous and arterial concentrations. Infants with right- to-left cardiac shunts may therefore be at greater risk of toxicity. Ticky, huh?


	==Notes==		==Notes==
	<references />		<references />


	==Keywords==		==Keywords==
	:


	</div>		</div>

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WikiSysop: 1 revision imported

2021-03-20T16:48:30Z

1 revision imported

← Older revision	Revision as of 16:48, 20 March 2021
(No difference)

https://pedsanesthesia.net/wikiOLD032021>JustinHamrick at 23:13, 6 March 2015

2015-03-06T23:13:27Z

New page

__NOTOC__
<div class="mw-collapsible mw-collapsed" style="width:100%">
Infants with right to left intracardiac shunts may be at increased risk for which of the following?

A. Local anesthetic toxicity

B. Pulmonary overcirculation resulting in pulmonary hypertension

C. Hyperoxia

D. Slowed inhalational induction with halothane

<div class="mw-collapsible-content">
==Answer==
The answer is A. Ok, so who knew this one? But I promise you its a good one. Right to left shunts will cause HYPOXIA and relative pulmonary UNDERCIRCULATION. Also, a right to left shunt will only cause a (clinical significant) slowed induction with the insoluble agents (desflurane, sevoflurane), not with the soluble agents (isoflurane, halothane).

Local anesthetics (especially amides) are influenced by the lungs. Normally, the lungs will alter the pharmacokinetics of LA by slowing the rate of rise and influence the peak plasma concentration. The lung extraction ratio for amide local anesthetic agents is high (approximately 0.8), resulting in a difference between mixed venous and arterial concentrations. Infants with right- to-left cardiac shunts may therefore be at greater risk of toxicity. Ticky, huh?

==Notes==
<references />

==Keywords==
:

</div>

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