By William N. Goldstein
Designed specially for college students and psychological wellbeing and fitness execs within the early levels in their careers, this primer is a pragmatic advisor to psychotherapy --
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Additional info for A Primer for Beginning Psychotherapy (2nd Edition)
What are the key considerations for evaluation of the potentially difﬁcult airway? Use the mnemonic LEMON as an airway assessment tool. • Look at the patient’s airway and history for detection of medical, surgical, or anesthetic factors that may indicate the presence of a difﬁcult airway. • Evaluate the airway using the 3–3–2 rule: normal mouth opening is three ﬁngerbreaths; mental to hyoid bone distance (mandibular dimension) is three ﬁngerbreaths; thyroid cartilage notch is two ﬁngerbreaths below the hyoid bone.
See reference on page 522]. ❍ What is the incidence of intraoperative awareness due to equipment malfunction? Nine percent of claims were attributed to light anesthesia due to vaporizer or ventilator malfunction. ❍ What are some risk factors for intraoperative awareness? Cardiac surgery was involved in 23% of claims compared with other claims involving general anesthesia, which accounted for 6%. In most cases the patients were female. Patient hypotension and inability to tolerate sufﬁcient anesthetic made up 11% of recall claims.
Prostaglandins are arachidonic acid derivatives produced via the cyclooxygenase pathway. They are mediators of the inﬂammatory response. Symptoms produced include bronchoconstriction, systemic hypotension (secondary to peripheral vasodilation), increased capillary permeability, and coronary vasospasm. Prostaglandins E1 and E2 produce bronchodilation, inhibit histamine release, and produce vasodilation of the peripheral, coronary, and pulmonary circulations. Prostaglandins E1, E2, and F2␣ have uterotonic effects.