Anaesthesiology

Question 1

Opioid toxicity (vs) Paralytic ileus

Answer 1

SU 1320

Question 2

Fat embolism vs Tension Pneumothorax

Answer 2

CC 3210

Question 3

CO Poisoning - oxygen mode of administration

Answer 3

Conscious - tight fitting mask with 100% oxygen
Unconscious - IPPV with 100% oxygen
HBOT vs IPPV - must read RM 1522 for more details on treatment

Question 4

INITIAL Mx (next most appropriate management) vs Single most appropriate Mx for CO poisoning in unconscious person

Answer 4

INITIAL management answer will be tight fitting mask with 100% oxygen because one would give 100% oxygen by mask while preparing for intubation (which is the single most appropriate management). RM 1521

Question 5

Things to give before Naloxone

Answer 5

EM 1032
MUST READ
-Airway
-oxygen bag and mask ventilation
- Naloxone
- intubate if needed (especially if acidotic)

NEXT most appropriate management (initial) Vs Most appropriate management - most appropriate is Naloxone. Initial Mx could be as mentioned above. CC 4520

Question 6

Rx for acute alcohol withdrawal Vs alcohol dependence vs opioid dependence

Answer 6

*Acute alcohol withdrawal - chlordiazepoxide (I.e., benzodiazepines)
*Alcohol dependence - disulfiram
*Opioid dependence - methadone

Question 7

Naloxone given for methadone overdose- drop in consciousness after a while

Answer 7

• Naloxone has a shorter half life compared to methadone
• So coma and respiratory depression can recur when Naloxone wears off
• Careful observation of the patient and repeated doses of Naloxone needed.

Question 8

Epidural patch

Answer 8

• only used where the post duels puncture headaches are severe and persistent.
• you inject 20 to 30ml of the patient’s own venous blood into the epidural space under aseptic conditions.