Medical Pharmacology: Anesthesia Clinical Case

Medical Pharmacology: General Anesthesia Clinical Case Questions

Click on the correct answer.

A 66 year-old woman is scheduled to undergo an exploratory laparotomy. She is suspected to the suffered a posterior rupture of a duodenal ulcer with resulting pancreatitis.
She has a history of coronary artery disease and is currently orthopneic and dyspneic on exertion
She has received morphine in the past for chest pain, with resulting nausea and vomiting.

case author: Hugh S. Mathewson, M.D., Professor Emeritus, School of Allied Health, Department of Nurse Anesthesia, University of Kansas Medical Center
case editor: Michael Gordon, Ph.D.

Could she receive a high dose opioid anesthetic with nitrous oxide and prevent nausea with metoclopramide (Reglan) or ondansetron (Zofran)?
1. yes
2. no
This patient appears to be in borderline congestive heart failure. Which potent inhalation agent would be least likely to cause myocardial depression?
1. halothane (Fluothane)
2. enflurane (Ethrane)
3. sevoflurane (Sevorane, Ultane)
4. isoflurane (Forane)
5. all cause equal myocardial depression
Its isoflurane (Forane) likely to contribute postoperative nausea and vomiting?
1. almost certainly
2. not necessarily

If you wish to return to the Table of Contents in ENGLISH, press the RETURN button above.

Otherwise, if the text is NOT displayed in English and you are ready to leave this page, Press here to return to the Table of Contents