NSG 640 Exam 1 (Complete And Verified Study material) (14pages) LEARNEXAMS

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