A 58-year-old man with a history of angina is undergoing resection of an abdominal aortic aneurysm under morphine, nitrous oxide, d-tubocurarine anesthesia. Just before removal of the aortic cross-clamp, heart rate is 74 bpm, blood pressure is 115/70 mmHg, and pulmonary artery occlusion pressure is 7 mmHg. Immediately after removal of the cross-clamp, heart rate increases to 120 bpm, blood pressure decreases to 80/55 mmHg, and pulmonary artery occlusion pressure decreases to 3 mmHg. The V5 lead on the EKG demonstrates sudden ST-segment depression and T-wave inversion. Initial therapy should be
A 37-year-old woman with pregnancy-induced hypertension develops oliguria two hours after cesarean delivery during epidural .anesthesia. Despite infusion of 2000 mL of crystalloid solution, urine output remains 10 mL/hr. Which of the following laboratory findings is most suggestive of acute tubular necrosis?
Which of the following complications is the primary cause of neurologic deficit following carotid endarterectomy?
Prilocaine is NOT recommended for obstetric regional anesthesia because it
During a right lower lobe resection, SpO2 decreases from 99% to 70% after institution of one-lung ventilation. FiO2 is 1.0. The most appropriate management is to
Undesirable muscarinic effects of anticholinesterase agents used for antagonism of muscle relaxants include each of the following EXCEPT
A 75-year-old man is confused, restless and disoriented two days after an aortic aneurysm repair. Serum sodium concentration is 112 mEq/L, serum osmolality is low, and urine is hypertonic. The most appropriate treatment is
Each of the following is an effect of electroconvulsive therapy EXCEPT
Retrobulbar block for ophthalmologic surgery can be administered safely to patients with which of the following conditions?
During isoflurane anesthesia, a 45-year-old patient with chronic asthma has wheezing, prolonged expiration, sinus tachycardia of 120 bpm, and premature ventricular contractions. Preoperative medication included cromolyn and theophylline (serum level 20 jag/ml). The most appropriate treatment is to administer