Nutritional Strategies — Flashcards

Flashcard 1: Can medications, blood products, and fluids be administered through the intraosseous (IO) route?

Answer: Yes. Any medication, blood product, or fluid that can be given intravenously (IV) can also be administered via the IO route.

Extra: The intraosseous (IO) route is a safe and effective alternative for the administration of fluids and medications in both pediatric and adult emergencies when rapid intravenous access is not possible. Plasma concentrations and onset of action are comparable to the IV route.

Flashcard 2: What is the inhalational anesthetic of choice in patients with obesity?_____

Answer: Desflurane

Flashcard 3: During hysteroscopy or similar endoscopic procedures using electrolyte-containing irrigation media, what is the fluid deficit threshold for terminating the procedure in young, healthy patients?

Answer: 2500 mL

Extra: For procedures like hysteroscopy using isotonic (electrolyte-containing) media such as normal saline: - Healthy/young patients: 2500 mL deficit limit. - Patients with comorbidities (cardiovascular, renal): 1500 mL deficit limit. For non-electrolyte media (e.g., glycine, sorbitol, mannitol), the limit is lower (1000 mL) due to the risk of hyponatremia and TURP-like syndrome.

Flashcard 4: A patient with obesity (BMI 30–39.9 kg/m²) is classified as ASA _____

Answer: II

Flashcard 5: 2020 AHA guidelines recommendations:Parameters such as _____ may be used to monitor and optimize CPR quality

Answer: ETCO2

Flashcard 6: Recommended preoperative fasting periods for all above 1 year of age are _____ hours for clear fluids, _____ hours for a light meal, and _____ hours for fried, fatty food.

Answer: 2; 6; 8

Flashcard 7: A patient with obesity (BMI: >40) would be classified under ASA _____

Answer: III