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 (D)</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 (D)</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) (B)</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 (C)</p> Signup and view all the answers

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

<p>Prevents electrolyte imbalances (B)</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 (C)</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 (A)</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 (B)</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 (D)</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 (A)</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 (A)</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 (D)</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 (D)</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 (A)</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 (A)</p> Signup and view all the answers

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