A 60-year-old man with type II diabetes mellitus requires emergency incision and drainage of a perirectal abscess. Laboratory studies show a serum glucose concentration of 850 mg/dl and a pHa of 7.30. The most appropriate management is administration of regular insulin and which of the following infusions?
(A) 5% Dextrose in water
(B) 5% Dextrose in 0.45% saline solution with potassium chloride
(C) 5% Dextrose in 0.45% saline solution with potassium chloride and mannitol
(D) Normal saline solution
(E) Normal saline solution and sodium bicarbonate
A bilateral superior laryngeal nerve block performed to facilitate fiberoptic intubation will provide anesthesia of the
Following cardiopulmonary bypass, right ventricular distention is noted after infusion of protamine 40 mg. Pulmonary artery pressure has increased from 25/18 to 50/30 mmHg and systemic arterial pressure has decreased from 110/65 to 0 mmHg. Which of the following is the most appropriate treatment?
(A) Administration of amrinone
(B) Administration of nitroglycerin
(C) Administration of phenylephrine
(D) Initiation of intra-aortic balloon pump assist
(E) Reheparinization and resumption of cardiopulmonary bypass
A 78-year-old man who is scheduled for an inguinal hernia repair has a preoperative ECG showing left bundle branch block. He has had no symptoms of cardiovascular disease. This ECG finding most likely indicates
(A) cardiac disease
(B) the need for spinal anesthesia
(C) an electrolyte disturbance
(D) the need for insertion of a temporary pacemaker
A 65-year-old woman has respiratory distress and loss of consciousness immediately following superficial and deep cervical plexus block for right carotid endarterectomy. Which of the following is the most likely cause?