Anesthesia Management for Renal Failure Prevention
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Questions and Answers

What is the most common type of anesthesia used in renal transplantation surgeries?

  • General anesthesia (correct)
  • Local anesthesia
  • Spinal anesthesia
  • Regional anesthesia
  • Which of the following electrolytes should be checked post-op in patients who underwent renal transplantation?

  • Sodium levels
  • Magnesium levels
  • Potassium levels (correct)
  • Calcium levels
  • What are the delayed signs of acute immunologic rejection in a transplanted kidney?

  • Fever, local tenderness, and decreased urine output (correct)
  • Hypotension, chest pain, and headaches
  • Nausea, diarrhea, and anemia
  • Shortness of breath, muscle weakness, and confusion
  • Which medication is commonly used in the perioperative period for renal transplant patients to prevent rejection?

    <p>Immunosuppressive drugs</p> Signup and view all the answers

    Where is a kidney from a cadaveric donor typically placed in a patient undergoing renal transplantation?

    <p>Lower abdomen</p> Signup and view all the answers

    What should be monitored during the management of anesthesia in renal transplant surgery to avoid decreasing cardiac output?

    <p>Central venous pressure (CVP)</p> Signup and view all the answers

    What is the role of Morphine-3-glucuronide in patients with renal clearance issues?

    <p>Causes respiratory depression</p> Signup and view all the answers

    Why should healthcare providers avoid promoting diuresis in patients with inadequate intravascular volume?

    <p>Prevents electrolyte imbalances</p> Signup and view all the answers

    In anesthesia management, why is it recommended to avoid venipuncture in the non-dominant arm?

    <p>Preserves future dialysis access</p> Signup and view all the answers

    What is a potential complication of using a femoral line for venous pressure monitoring during anesthesia?

    <p>Increased risk of infection</p> Signup and view all the answers

    Why should healthcare providers avoid using a blood pressure cuff on the extremity with an AVF (Arteriovenous fistula)?

    <p>Avoids exacerbating hypertension</p> Signup and view all the answers

    What is the recommended action if there is residual neuromuscular blockade post-anesthesia in anephric patients?

    <p>Consider the use of naloxone</p> Signup and view all the answers

    What should be the serum potassium level on the day of surgery according to the text?

    <p>Less than 5.5</p> Signup and view all the answers

    Why is it important to adjust H2 blockers based on renal function during anesthesia?

    <p>To ensure proper medication effectiveness</p> Signup and view all the answers

    Which muscle relaxant should be considered as an alternative to succinylcholine for patients with a serum potassium level greater than 5.5?

    <p>Atracurium</p> Signup and view all the answers

    Why should sevoflurane be avoided during anesthesia according to the text?

    <p>Because of concerns regarding fluoride and nephrotoxicity</p> Signup and view all the answers

    Which IV drug has a reduced dose advised in chronic kidney disease due to increased volume of distribution and decreased protein binding?

    <p>Thiopental</p> Signup and view all the answers

    Why is it recommended to hold ACE inhibitors/ARBs to avoid intraoperative hypotension during anesthesia?

    <p>Due to the risk of hypotension</p> Signup and view all the answers

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