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Anesthesia Math
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Anesthesia Math

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Questions and Answers

How would you convert the ratio 1:10,000 to mg/ml?

  • Divide 1 by 10,000 and then multiply by 1000 (correct)
  • Multiply 1 by 10,000
  • Multiply 1 by 10,000 and then divide by 1000
  • Divide 1 by 10,000
  • What is the decimal equivalent of the fraction 1/2?

  • 0.50 (correct)
  • 0.30
  • 0.75
  • 0.25
  • What is the percentage expression of the decimal fraction 0.5?

  • 500.0%
  • 5.0%
  • 50.0% (correct)
  • 0.5%
  • How would you convert a percentage expression to mg/ml?

    <p>Multiply the percentage by 10</p> Signup and view all the answers

    What is the ratio expression of the percentage 1%?

    <p>1:100</p> Signup and view all the answers

    What is the principle behind Avogadro's hypothesis?

    <p>Equal volumes of all gases contain equal numbers of molecules</p> Signup and view all the answers

    What is the formula for calculating mEq?

    <p>mEq = mg/atomic weight * valence</p> Signup and view all the answers

    What does the unit 'mEq' represent?

    <p>Milliequivalents of a substance</p> Signup and view all the answers

    What is the relationship between the molecular weight of oxygen and the molecular weight of hydrogen?

    <p>The molecular weight of oxygen is 16 times the molecular weight of hydrogen</p> Signup and view all the answers

    According to Avogadro's hypothesis, what is the relationship between 1 mole of oxygen and 1 mole of carbon dioxide?

    <p>1 mole of oxygen is equal to 1 mole of carbon dioxide</p> Signup and view all the answers

    What is the primary function of a solvent in a solution?

    <p>To dissolve another substance</p> Signup and view all the answers

    What is the result of diluting a solution with more solvent?

    <p>The solution becomes less concentrated</p> Signup and view all the answers

    What is a stock solution?

    <p>A relatively concentrated solution that can be made weaker by diluting it</p> Signup and view all the answers

    What is the concentration of a 1:1 solution in the metric system?

    <p>1 gram per 1 ml</p> Signup and view all the answers

    What is the rate of acceleration of free-falling objects on Earth?

    <p>9.8 m/s/s</p> Signup and view all the answers

    What is the formula for pressure?

    <p>Pressure = force per unit area</p> Signup and view all the answers

    What is the purpose of the APL (Adjustable Pressure Limiting) valve?

    <p>To regulate pressure in the anesthesia circuit</p> Signup and view all the answers

    What is the equivalent water column supported by a pressure that supports a 7.5 mm column of Hg?

    <p>10.2 cm</p> Signup and view all the answers

    What is the correct formula for CPP?

    <p>CPP = MAP - ICP</p> Signup and view all the answers

    Why must a water manometer be held perpendicular to the plane of the floor?

    <p>To ensure accurate pressure readings</p> Signup and view all the answers

    What is the term for the work performed by the heart to pump blood?

    <p>Cardiac work</p> Signup and view all the answers

    What is the main difference between a solvent and a solute?

    <p>The solvent is the substance doing the dissolving, while the solute is the substance being dissolved.</p> Signup and view all the answers

    What does it mean to dilute a solution?

    <p>To decrease the concentration of a solution</p> Signup and view all the answers

    What is a stock solution in anesthesia?

    <p>A concentrated solution of a medication from which a weaker solution can be made by diluting it</p> Signup and view all the answers

    How many grams per milliliter (g/mL) are in a 1:1 solution?

    <p>1</p> Signup and view all the answers

    What is the mathematical expression for pH?

    <p>-log[H+]</p> Signup and view all the answers

    What is the significance of the Henderson-Hasselbalch equation in anesthesia?

    <p>It helps calculate the pH based on the concentration of bicarbonate and carbonic acid</p> Signup and view all the answers

    What is the primary use of the Henderson-Hasselbach equation in anesthesia?

    <p>To estimate the pH of a solution containing a weak acid or its conjugate base</p> Signup and view all the answers

    What is a mole in chemistry?

    <p>A unit of measurement that represents 6.02214076 × 10^23 particles (atoms, subatomic particles, molecules, etc)</p> Signup and view all the answers

    How do you symbolize multiplication in SI?

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

    What is the equation for converting from Fahrenheit to Celsius?

    <p>°C = (°F - 32) × 5/9</p> Signup and view all the answers

    What is the equation for converting centimeters (cm) to inches (in)?

    <p>1 in = 2.54 cm</p> Signup and view all the answers

    What is the equation for pressure in anesthesia?

    <p>Pressure = Force / Area</p> Signup and view all the answers

    What is a Torricelli tube?

    <p>A device used to measure gas pressure using mmHg</p> Signup and view all the answers

    You have an oxygen E cylinder with a pressure gauge that registers 0 psi. Is there oxygen in that cylinder?

    <p>Yes, there must be oxygen in the cylinder. Oxygen is at atmospheric pressure.</p> Signup and view all the answers

    What is a Bourdon gauge used for?

    <p>To measure the pressure of an oxygen cylinder</p> Signup and view all the answers

    7.5 mmHg equals how many cm of water pressure?

    <p>10.2</p> Signup and view all the answers

    1 kPa equals how much mmHg?

    <p>7.5 mmHg</p> Signup and view all the answers

    14.7 psi is equivalent to how many mmHg?

    <p>760</p> Signup and view all the answers

    What is the primary function of a water manometer in anesthesia?

    <p>To measure pressure in a circuit by holding perpendicular to floor</p> Signup and view all the answers

    What is the equation for work in anesthesia?

    <p>Force x Distance</p> Signup and view all the answers

    What is an alternate equation for work (cardiac and respiratory work)?

    <p>Pressure x Volume</p> Signup and view all the answers

    What is work measured in?

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

    How does the pressure-volume loop express respiratory work?

    <p>It illustrates the relationship between airway pressure and tidal volume</p> Signup and view all the answers

    What is power measured in?

    <p>Watts (rate of work)</p> Signup and view all the answers

    Match the base unit with the correct unit of measurement in SI

    <p>length = meter electric current = ampere thermodynamic temperature = kelvin mass = kilogram</p> Signup and view all the answers

    What is the MAC of sevoflurane?

    <p>2.0</p> Signup and view all the answers

    What is the Minimum Alveolar Concentration (MAC) of isoflurane?

    <p>1.2%</p> Signup and view all the answers

    What is the MAC of desflurane?

    <p>6%</p> Signup and view all the answers

    What is the Minimum Alveolar Concentration (MAC) of nitrous oxide?

    <p>105%</p> Signup and view all the answers

    What is the blood:gas coefficient of sevoflurane?

    <p>0.65</p> Signup and view all the answers

    What is the blood gas coefficient of desflurane?

    <p>0.45</p> Signup and view all the answers

    What is the blood gas coefficient of isoflurane?

    <p>1.4</p> Signup and view all the answers

    What is the blood gas coefficient of nitrous oxide?

    <p>0.47</p> Signup and view all the answers

    What is the saturated vapor pressure of sevoflurane?

    <p>160 mmHg</p> Signup and view all the answers

    What is the saturated vapor pressure of desflurane in mmHg?

    <p>664</p> Signup and view all the answers

    What is the saturated vapor pressure of isoflurane in mmHg?

    <p>250 mmHg</p> Signup and view all the answers

    What is the saturated vapor pressure of nitrous oxide at 20 degrees C?

    <p>None, it is a gas</p> Signup and view all the answers

    What is the term for the energy required for a liquid molecule to become vapour?

    <p>Latent heat of vaporization</p> Signup and view all the answers

    What is the term for when equilibrium exists between the rate of evaporation and condensation in a closed container?

    <p>Vapor pressure</p> Signup and view all the answers

    What does Dalton's Law state?

    <p>The total pressure of a mixture of gases is equal to the sum of the partial pressures of each individual gas.</p> Signup and view all the answers

    What does Poisson's Law state?

    <p>Under isolated conditions, gas cools when expanded and warms when compressed due to adiabatic changes</p> Signup and view all the answers

    What does Henry's Law state?

    <p>The concentration of a gas in a liquid is directly proportional to the pressure of the gas.</p> Signup and view all the answers

    Study Notes

    Ratios

    • A ratio is a means of expressing a relationship between quantities, using a different symbol than a fraction.
    • Example: Blood/gas coefficient for an anesthetic agent's solubility in blood compared to gas, expressed as 2.3:1 or 2.3/1.

    Percent

    • Percent expressions represent a quantity in terms of parts per one hundred.
    • A percent number is a fraction whose numerator is verbalized and whose denominator is assumed to be one hundred.
    • Simple fractions can be converted to percent by first converting to a decimal fraction and then multiplying by 100.

    Converting Percent to MG/ML

    • Multiply the percent by 10 to get mg/ml.
    • Examples: 0.25% * 10 = 2.5mg/ml, 5% * 10 = 50mg/ml.

    Solute and Solvent

    • A solute is a substance dissolved in a solvent to make a solution.
    • A solvent is the component of a solution that is capable of dissolving another substance.
    • Solute may be in the form of solid, liquid, or gas.
    • Examples: pure drug or a concentrated solution.

    Drug Calculations

    • Example: You have a 1% solution of phenylephrine and want to make a 500 cc (ml) bottle of 1:20,000 solution of phenylephrine in Lactated Ringer's.
    • Solution: Determine the mg/ml concentration of the final solution and then use the proportion method.

    Metric Units of Weight and Volume

    • 1 Kilogram = 1,000 grams
    • 1 liter = 1,000 milliliters or cubic centimeters
    • 1 Gram = 1,000 milligrams
    • 1 milliliter = 1/1,000 liter

    Metric Terms

    • Metric weight standard: 1 milliliter of pure water weighs 1 gram at 4 degrees centigrade.
    • 1 gram of solute with sufficient solvent to make 1 gram per cc of a solution equals 100% solution or a 1:1 solution.

    Units

    • 1 gram/cc = 100% solution or a 1:1 solution
    • 1,000 mg/cc = 100% solution or a 1:1 solution

    Logarithm

    • The logarithm is the inverse operation to exponentiation.
    • The logarithm of a number is the exponent to which another fixed value, the base, must be raised to produce that number.

    Henderson-Hasselbalch Equation

    • pH can be calculated with bicarbonate and carbonic acid concentrations.

    Avogadro's Hypothesis

    • Equal volumes of all gases contain equal numbers of molecules under conditions of fixed temperature and pressure.
    • 1 mole of oxygen (with a molecular weight of 32) = 1 mole of hydrogen (m.w.= 2) = 1 mole water (m.w.= 18) = 1 mole carbon (m.w.= 12) = 1 mole carbon dioxide (m.w.= 44).

    mEq

    • A liter of a particular intravenous solution contains 4.5 mEq · l-1 of potassium.
    • Formula: mEq= mg/atomic weight * valence

    SI Prefixes

    • The Seven Base Units of the SI

    Pressure

    • Pressure = force per unit area
    • 1 newton will accelerate a 1 kilogram mass at 1 meter per second per second.

    Force

    • The force of gravity: all free-falling objects (on Earth) accelerate downwards at a rate of 9.8 m/s/s.

    Inhaled Anesthetic Delivery Systems

    • Pressure sensor shut-off valve: the valve is open when the oxygen supply pressure is greater than the threshold value of 20 psig.

    Pressure units

    • 1 kPa = 7.5 mmHg = 10.2 cm H2O

    Relevance

    • Cerebral perfusion pressure (CPP) formula: CPP = MAP - ICP
    • Importance of CPP in craniotomy surgery

    Work

    • Work = F x D
    • Joule: the force of 1 N over 1 meter

    Evaporation and Condensation

    • As a liquid evaporates into a space above it, the pressure of its vapour increases.
    • A point of equilibrium is reached when the rate of evaporation equals that of condensation, and the space becomes saturated.
    • At this point, the pressure is the saturated vapour pressure (SVP).

    Energy Requirements

    • Liquid molecules require energy to become vapour, known as the latent heat of vaporization.
    • If this energy cannot be obtained from external sources, it is drawn from the liquid, causing it to cool.
    • This occurs in a vaporizer or when a nitrous oxide cylinder is used.

    Condensation

    • When a vapour condenses, some of the latent heat of vaporization is returned as heat.

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