Author Question: Which patient has the least risk of developing aspiration pneumonitis as an adverse effect of ... (Read 13 times)

clippers! · **on:** Jul 23, 2018

Which patient has the least risk of developing aspiration pneumonitis as an adverse effect of an-esthesia?

a. A patient with gastroesophageal reflux disease (GERD)
b. A patient with stones in the gallbladder
c. A patient who is obese
d. A patient premedicated with an opioid

Question 2

The mother of a pediatric patient asks the health care provider why her child should not be given aspirin. Which of the following statements represents the most accurate response by the health care provider?

a. It could precipitate or worsen the potentially fatal Reye's syndrome.
b. It could precipitate liver failure.
c. It could cause deterioration of kidney function.
d. It could lead to chronic nosebleeds.

blakeserpa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Patients who are at the greatest risk for aspiration pneumonitis as an adverse effect of anesthesia are those with GERD, obesity, diabetes, peptic ulcer disease, stress or pain, or trauma, as well as older adults, children, pregnant women, ambulatory surgery patients, and those premedicated with an opioid.

Answer to Question 2

ANS: A
Reye's syndrome is a rare but serious disorder that carries a mortality rate of 20 to 30. Reye's syndrome is often the sequela of varicella and other viral infections. Salicylates may precipitate or worsen this disorder, but there is no unequivocal proof at this time that aspirin is a major factor.