Question

128 Section 2 Principles and Practice of Surgical Tec CASE STUD Y 2 Tony, an 86-year-old general an when he was 6 years old. He h 30 minutes prior to the incision man weighing 140 lb., is scheduled for a repair of an abdominal aortic aneurysm with injects the s His mother died of an elevated temperature above 106°F during a routine hysterectomy ad fluids for lunch ess than four hours ago. The surgeon orders CefotanⅣ esthesia. 1. During t 1. What position(s) will be necessary for Tony's surgery? After anesthesia is administered, will it be necessary for the circulator to position the patient? 2. Desc 2. A gas inhalat not today. Why? ion drug may be used to maintain anesthesia. The anesthesiologist usually uses Forane, but 3. During intubation, the circulator is asked to provide pressure on the cricoid ring. this called, and What is why is it done? ed, and cricoll 3. During intubation, the circulator is asked to provide pressure on the why is it done? ar procedure, what medication will be added to the irrigation solution for this case? Why? 5. Why is the Cefotan given as a one-time dose prior to the incision? What is the drug classification? 6. Why is timing important in the administration of the Cefotan? Relate timing to the process of pharmacoki netics and peak effect.

Answer 1

1. Supine position

No circulatory is not required to change the position after anaesthesia

2.Because there is a history of hyperthermia for his mother hence it is not used as it causes hyperthermia

3.Sellick maneuver

To reduce risk of regurgitation and aspirations

4. Heparin willl be added to the irrigation solutions to avoid formation of clots

5. It's an antibiotic

Group cephalexin

To avoid infections in the intraoperative period

6. Cefotax kinetics

Peak effect is by half an hour

And half life is 1-1.5 hrs

It is eliminated by kidney