An 18-month-old child with tetralogy of Fallot is anesthetized with halothane and nitrous oxide. Following intubation, oxygen saturation decreases abruptly from 85% to 45%. The most effective treatment is
A 68-year-old woman is scheduled for a mastectomy. She has not taken prescription medications for 24 hours. Preoperative examination shows a heart rate of 104 bpm and blood pressure of 200/105 mmHg. The most likely cause of these findings is omission of which of the following drugs?
(A) Amiodarone
(B) Clonidine
(C) Enalapril
(D) Hydralazine
(E) Nifedipine
B
In the elderly, scopolamine-induced delirium is
(A) absent with doses less than 0.4 mg
(B) decreased by physostigmine
(C) reversible with diazepam
(D) reversible with pyridostigmine
(E) similar to that produced by glycopyrrolate
B
During total cardiopulmonary bypass, metabolic acidosis and decreasing mixed venous oxygen saturation are noted. The most likely cause is
A patient is in sinus rhythm but has no pulse during cardiopulmonary resuscitation. There is marked resistance to positive pressure ventilation and breath sounds are difficult to hear bilaterally. The endotracheal tube is clearly in the trachea. The most appropriate next step in management is to
A Fluotec vaporizer is set to administer halothane 4% using a fresh gas flow of 4 L/min. If the diluent gas flow is increased to 8 L/min, and at the same time the room temperature increases from 20 to 25°C, the approximate concentration of halothane delivered to the patient would be