Book contents
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Chapter 25 - Hypertension
from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia
Published online by Cambridge University Press: 03 August 2023
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Summary
A 48-year-old female is scheduled for a laparoscopic cholecystectomy. She has a history of hypertension, diabetes mellitus type II, and hyperlipidemia. She is taking lisinopril, metoprolol, metformin, and atorvastatin. She states that she did not take any of her medications this morning. Her pre-operative blood pressure is 181/112 mm Hg. A repeat blood pressure is 184/117 mm Hg. She states she is a little nervous and denies any other symptoms. General endotracheal anesthesia is performed uneventfully using propofol, fentanyl, and vecuronium. An arterial line is placed. Shortly after skin incision, her blood pressure increases from 130/80 mm Hg to 170/100 mm Hg. What is your differential diagnosis? What steps would you take to determine the cause of the intra-operative hypertension? Would you be concerned with the patient’s pre-operative blood pressure? Is there a specific blood pressure reading that would cause you to postpone the surgery?
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- Anesthesia Oral Board ReviewKnocking Out The Boards, pp. 93 - 97Publisher: Cambridge University PressPrint publication year: 2023