Anesthesia mnemonics

EF=

(EDV-ESV)/EDV x100

Plasma osmolarity calculation

(Na x 2) + (glucose/18) + (BUN/2.8)

Calculate FiO2

(air L/min x21)+( O2 L/minx100) Divided by L/Min

CHARGE association

-Coloboma (a hole in one of the eye structures) -Heart defects -(A) -Choanal atresia -Retardation of growth and development -Genitourinary problems -Ear anomalies

Low to high potency

Alfentanil<Sufentanyl<Remifentanil= Fentanyl< Carfentanil < Lofentanil

Dexmedetomidine Precedex 0.2-1 mcg/kg/hr 2-5 mcg/kg PO Ab rash

Alpha-2 agonist Bradycardia Respiratory depression mild Analgesia, Anxiolysis Sedation hypotension

VA

Alveolar ventilation Fraction of Ve avail for gas exchange Directly proportional to CO2 Indirect proportional to PaCO2

ARDS:

Aorta Reg Diastolic murmur right Sternal border dry, fast, dilated Bisferens pulse Ankylosing spondylitis

ASS Arch

Aortic Stenosis Systolic mumur at right Sternal Boarder Aortic Arch full, slow, tight Pulses Parvus Increase Preload/Afterload

RECEPTOR BLOCKADE

At 100%, no response sent At 95% only Diaphragm alive Down 5 more, there's 1 on TRAIN OF 4 At a block of Seven Zero (70%,your a 4 TWITCH hero At a 50% block inspiratory pressure test is a lock Once you get to 30 there head will be sturdy

DIURETICS COLT PA

Carbonic anhydrase(proximal Osmoic diuretic (proximal Loop thick ascending LOH Thiazide diuretics (Distal Potassium sparing diuretics (collecting duct Aldosterone antagonist (collecting duct)

CATCH 22

Cardiac defects Abnomal face Thymic hypoplasia Cleft Palate Hypocalcemia (d/t hypoparathyroidism) 22q11.2 gene deletion

CMRO2

Cerebral Oxygen Consumption

Nasotrach contraindications CLTS

Coagulation, CSF Le Fort fracture Tumor Scope fracture Basolateral

Hyeradrenocorticism

Cushings HTN-glucocorticoid wt gain moon face hirsutism muscle weakness

Venus air embolism treatment Gas OD

Give pressers Aspirate right heart catheter Stop nitrous oxide Oxygen hundred percent Deront's maneuver-patient in and left lateral position Might help get the entrained air bubble to move inside the right ventricle

Cervical plexus: arrangement of the important nerves "GLAST": · 4 compass points: clockwise from north on the right side of neck:

Great auricular Lesser occipital Accessory nerve pops out between L and S Supraclavicular Transverse cervical

Help

Head elevated lARYNGOSCOPY position

decreased O2 delivery to tissues

Hemorrhage Anemia Low CP Hypoxia

Etomidate Hampers

Hypnotic Adrenal cortical suppression(long term) Minimal CV effects Pain on injection-Lido Esterases and hepatic metabolism Respiratory depression Seizure activity myoclonic movement

I Think Illogical Imposters Cant Educate But Fabulous Schools Should

IV Tracheal Interpleural Intercostal Caudal Epidural Brachial Plexus Femoral Sciatic SubQ

Ve

Minute Ventilation Amt air in single breath multiplied by # per min

Opioid receptors Mu-1 muse

Miosis Urinary retention Supraspinal analgesia Euphoria

Central opioid effects-Mars

Miosis, mood alteration Analgesia Respiratory depression Sedation

MRSA

Mitral Reg Systolic murmur Apex left Axilla full, fast, loose.

MDSA

Mitral Stenosis Diastolic murmur Apex left AXILLA full, slow, tight. A-Fib

Oxygen content of blood

O2 content= 1.39x Hgbx arterial saturation + (0.003xPaco2)

DO2

O2 delivery* 1000 mL/min

Lung volume Tidal volume TV 500mL( 6-8 mL/kg) inspiratory reserve volume IRV 3000mL Expiratory reserve volume ERV 1200 mL Residual volume RV 1200mL

TV: Amount of gas and a Typical Ventilation normal breath IRV: Inspiration remaining volume after normal inspiration ERV: Expiration remaining volume after normal expiration RV: remaining volume after Maximo expiration

Static Compliance=

Tidal volume/ (plateau pressure-PEEP)

-zosin

alpha adrenergic receptor blocker

CaO2

arterial O2 content 20 mL/dl

RAS

consciousness arousal sleep

cellular apoptosis

etomidate Nitrous oxide

common perineal

failure to evert foot

twitch response Patellar twitch

femoral nerve

Sciatic

foot drop

Amiloride SE

hyperkalemia

why Nitrous oxide avoided in SLE with pulmonary involvement

increased homocysteine can increase coagulabilty Nitrous oxide can in crease right ventricular afterload

what structures pierce thyrohyoid membrane?

internal branch SLN Superior laryngeal artery

12 cranial nerves On old Olympus' Towering Tops, a Finn and German viewed some hops

olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, auditory, glossopharyngeal, vagus, sensory (accessory), and hypoglossal.

VO2

oxygen consumption 250 mL/min

PaCO2

partial pressure of carbon dioxide

dorsiflexion twitch response

peroneal nerve

ropivicaine

single enatominer

twitch response plantar flexion

tibial nerve

Difficulty with supraglottic airway

tonsillar hypertrophy TMJ ankylosis Asbestosis

Increase CVP

venoconstriction (increase Venous tones SNS) right ventricular failure

CvO2

venous O2 content 15 mL/dl

End systolic volume depend on

ventricular contractility Afterload

1 atm=

760 mmHg= 1033 cm H2O

Hyperaldosteronism

CONN HTN-aldosterone Alkalosis Paresthesia Weak Nocturnal polyuria/dipsia

Closing Volumes increase Close P

COPD Left ventricular failure Obesity Supine Position Extreme Age Pregnancy

Midbrain

3,4 Auditory Visual tracts

Oxygen consumption falls by ?% for every 1'C

5%

BURP:

Backwards (toward patent), upwards (towards patients chin) and to the Right

Big Tongue

Beckwith syndrome Trisomy 21

Thyroid storm 4 B's

Block synthesis (methmiazole, carbimazole, PTU, potassium iodide) Block release (radioactive iodine, K iodide) Block T4 to T3 conversion (PTU, Propranolol) Beta Blocker(propranolol, esmolol)

Mu-2 brains

Bradycardia Respiratory depression addiction Itching Nausea vomiting constipation Spinal analgesia

DERMATOMES: C4: C for ? T4: L4: 4 letter word of the Leg S4 -You Sit on

C4: C for collar T4: Tits L4: 4 letter word of the Leg (KNEE) S4 - You Sit on BUTT (4)

SV=

CO x(1000/HR)

Oxyhemoglobin disassociation CURVE CADET

CO2 Acid 23 DPG Exercise Temperature More of each right shift Less of each left shift

CPP=

DBP - LVEDP(paop)

4 D's

Dentition-incisors receding chin Distortion-adema blood tumor Disproportion-bull neck large tongue Disability-TMJ spine

Cholinergic side effects: Dumbells STPD

Diarrhea Urination Miosis Bradycardia Brochoconstriction Emesis Lacrimation Laxation Salivation Seizure Treatment-Atropine Pralidoxime Diazepam

DLCO

Diffusion Capacity for Carbon Monoxide 17-25

MABL=

EBV x(start hgb-target hgb)/start hgb

barbiturates Every girl deserves roses

Enhanced gaba depress the RAS Theopental , Methohexital

anterior pituitary FLAT PiG

Follicle stimulating hormone Luteinizing hormone Adrenocorticotropin Thyroid stimulating hormone Prolactin ignore Growth hormone

somatotropic hormone,

GH Facilitates tissue growth

I twice Get Laid On Fridays

Iliohypogastric [L1] Ilioinguinal [L1] Genitofemoral [L1, L2] Lateral femoral cutaneous [L2, L3] Obtruator [L2, L3, L4] Femoral [L2, L3, L4]

Kids TRy GOLD Cervical Spine Anomaly

Klippel-feil Trisomy 21 GOLDenhar

Lemons

Look externally Evaluate 332 Malipatty Obstruction/ tumor Neck mobility Spine

SVR=

MAP-CVP/CO x 80

MS MAIDS

Machine check SUction Monitor alarms Airway-double blade IV-OPEN Drugs Swans Gance OG CVP

succinylcholine MD phobia

Malignant hyperthermia trigger Depolarizing neuromuscular blocker Pseudocholinesterase metabolism Hyperkalemia, histamine release minimal Overdose= phase 2 block Bradycardia due to muscarinic stimulation Increased IOP ICP intra-gastric pressure Acetylcholine mimicker

Difficult bag mask MO a NS

Mask seal(beard) Obesity Age(elderly loss of muscle tone) No teeth(alveolar Ridge resorption) Stiff lungs(upper airway obstruction)

Bumetanide SE

Ototoxicity

Torsades de pointes long QT intervals

POINTES Phenothazines Other meds Intracranial bleed No known cause Type I antiarrhythics Elyte Syndromes

brainstem (pons and medulla) autonomic integration

PONS-5,6,7,8 Medulla- 9,10,11,12

Dissolved O2

PaO2 x 0.003

Please Get That Chin Underdeveloped Mandible

Pierre Robin Goldenhar Treacher Collins Cri du Chat

nerves of Ankle closest to artery

Posterior tibial Deep Peroneal

PADP

Pulmonary Artery Diastolic Pressure 4-12 mmHg

3rd order cell bodies reside in

RAS and thalamus

Delta -raps

Respiratory depression Addiction Poorly understood super spinal analgesia

Cranial Nerve Function Some Say Marry Money; But My Brother Says Big Boobs Matter Most

S: sensory (olfactory nerve - CN I) S: sensory (optic nerve - CN II) M: motor (oculomotor nerve - CN III) M: motor (trochlear nerve - CN IV) B: both (trigeminal nerve - CN V) M: motor (abducens nerve - CN VI) B: both (facial nerve - CN VII) S: sensory (vestibulocochlear nerve - CN VIII) B: both (glossopharyngeal nerve CN IX) B: both (vagus nerve - CN X) M: motor (spinal accessory nerve - CN XI) M: motor (hypoglossal nerve - CN XII)

Peripheral opioid effects-SHIV

Smooth muscle contraction Histamine release Inhibition acetylcholine release Venous dilation

Kappa-same shit different day

Spinal analgesia Sedation Dysphoria Dependence

Venus air embolism symptoms Shame

Stats decrease Hypotension Arrhythmia Murmur ET CO2 sudden drop

Ketamine super brains 5-10 mc/kg PO

Stimulate SNS Urinary excretion PCP derivative Emergence delirium Respiratory depression minimal Bronchodilator Recreational abuse Analgesia Increased BP HR CO ICP CVP PAP CI NMDA receptor antagonist Salvation-Glycopyrrolate

Propofol sharp lad

Stimulates GABA Hypotension Antiemetic Respiratory depression Pain on injection Lipid soluble Avoid allergies soybean glycerol egg Lecthin Decreases CBf and ICp

Opioids from most to least potent Superman rescued five American hos Monday morning

Sufentanyl>Remifentanil= Fentanyl> Alfentanil> hydromorphone> morphine> meperidine Sufentanyl is almost 10 times more potent than fentanyl Remifentanil's potency is close to fentanyl Fentanyl is 10 times more potent then Alfentanil Hydromorphone is 10 times more potent than morphine morphine is 10 times more potent than meperidine

Difficult cricothyrotomy Short

Surgery Hematoma/ infection Obesity Radiation Tumor

Thoracic roots The entire area supplied by these roots make the letter T. The limbs of T are the topmost, so obviously is supplied by T1.

T4 is the level of Boob (Nipple) T10- Belly ButTEN (Umbilicus)

OB- VEAL CHOP

V- variable decels C-cord compression E- early decels H- head compression A- accelerated O- ok to give O2 L- late decels P-placenta insufficiency

FRC-2400mL IC- 3500mL

VC- 4500mL(60-70mL/kg) TLC- 5900mL FEV1 80%

Increased oxygen consumption

VO2 Fever stress seizures shivering thyrotoxicosis Pain

Congenital anomalies VACTERL syndrome (Vater+Cardiac and limb abnormalities)

Vertebral defect Anal Atresia Cardiac anomalies Tracheoesophageal fistula Esophageal atresia Renal Displasia Limb anomalies