Anesthesia Pharmacology:  General Anesthesia Clinical Case Questions

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  • 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.