A 40-year-old man is undergoing open reduction and internal fixation of a fractured femur. During anesthesia with fentanyl, sevoflurane, and oxygen, heart rate decreases to 20 bpm and 6 premature ventricular contractions per minute are noted. No pulse is detected. The most appropriate next step is to
Surgery is cancelled 10 minutes after initiation of intravenous regional anesthesia with 50 ml of lidocaine 0.5%. To terminate anesthesia safely, what is the most appropriate timing for deflating the tourniquet?
(A) Immediately if benzodiazepines have been administered
(B) Immediately after intravenous administration of ephedrine 10 mg
(C) Immediately, followed by repeated reinflation and deflation
(D) In no less than 20 minutes after initial injection
(E) In no less than 45 minutes after initial injection
A 24-year-old woman with abruptio placentae at 38 weeks' gestation has bleeding at the site of the intravenous catheter. Which of the following is the most likely cause?
(A) Diffuse vasculitis
(B) Disseminated intravascular coagulation
(C) Isolated factor VIII deficiency
(D) Primary fibrinolysis
(E) Vitamin K deficiency
B
Infants with untreated pyloric stenosis are at increased risk for each of the following EXCEPT
A 25-year-old woman is undergoing emergency appendectomy at 36 weeks' gestation. Following subarachnoid injection of hyperbaric bupivacaine and placement in the supine position, the patient has nausea; heart rate is 105 bpm and blood pressure is 90/60 mmHg. Which of the following is the most appropriate management?
(A) Displacement of the uterus to the left
(B) Immediate tracheal intubation
(C) Intramuscular administration of ephedrine
(D) Placement of the operating table in the reverse Trendelenburg position