General Anesthetics · Pharmacology

Nitrous oxide should be avoided in patients with a pneumothorax or bowel obstruction because:

  1. It causes severe nausea and vomiting on emergence
  2. It is more soluble than nitrogen and expands air-filled cavities
  3. It raises intracranial pressure by dilating cerebral vessels
  4. It reacts with oxygen in the lungs to form toxic nitrogen byproducts
Show answer and explanation

Correct answer: It is more soluble than nitrogen and expands air-filled cavities

Nitrous oxide is about 34 times more soluble in blood than nitrogen. It diffuses into closed air-filled spaces faster than nitrogen can diffuse out, so the volume or the pressure within those spaces rises dangerously.

Difficulty: Medium Question 12 of 20

Practice all 20 General Anesthetics questions

Keep practicing

More General Anesthetics questions