Airway Anatomy and Difficult Airway

Questions

1. A previously healthy 27-year-old woman was scheduled for elective cholecystectomy. Examination of her airway demonstrated a modified Mallampati score of 2; however, she was unable to bite her upper lip with her lower incisors. What will be your approach to her airway?
2. You are called for rapid airway response to a 68-year-old woman with pneumonia on the medical ward. She has worsening hypoxemia and the need for mechanical ventilation. On initial inspection she was obese, breathing at a respiratory rate of 40 breaths per minute, and had retrognathia. Oxygen saturation is 92% on 10 L/min. She is tachycardic with a stable blood pressure.  he is confused and uncooperative. Her compromised clinical condition precluded a thorough oropharyngeal and neck  examination. What will be your approach to her airway?
3. You are called to the Emergency Room to evaluation a 50-year-old man with tongue swelling after taking an ACE inhibitor. On examination, his tongue is firm and protruding from his mouth. His teeth have cut into his tongue a little bit causing a small amount of bleeding. There is no room between his teeth and tongue. His condition has worsened over the 30-60 minutes. He is still on room air but having increasing difficulty handling his secretions. He is extremely anxious, sitting completely upright, hypertensive and tachycardic. What will be your approach to his airway?

Hemodynamic Monitoring

Questions

1. You take over care of a 71M with bacteremia and from urosepsis and ARDS, who is having ureteral stents placed. His blood pressure reads 132/68, and he is on norepinephrine and vasopressin. List at least 5 ways more is fine) that, despite a “normal” blood pressure, he may have inadequate tissue perfusion. What could you do to determine whether these are in play?
2. How would CVP be affected by non-venous-hemodynamic factors:  Obesity? Ventilation pressures? Tricuspid regurgitation? Third degree heart block? Etc?