Anaesthetics

Question 1

What are the benefits and side effects for propofol?

Answer 1

Anti emetic properties- reduces PONV risk

Pain on injection and hypotension

Question 2

What are the benefits and side effects for ketamine?

Answer 2

Does not cause hypotension so used in trauma patients

Causes disorientation and hallucinations

Question 3

What are the benefits and side effects for thiopental sodium?

Answer 3

Rapid induction of anaesthesia

Causes laryngospasm

Question 4

What are the benefits and side effects for etomidate?

Answer 4

Causes less hypotension

Can cause primary adrenal suppression and myoclonus

Question 5

What is the purpose and side effects of nitrous oxide?

Answer 5

Used for maintenance of anaesthesia and analgesia

Can cause increase in pressure-avoid in pneumothorax

Question 6

What is the purpose and side effects of volatile inhalation anaesthesia?

Answer 6

Isoflurane
Can induce and maintain
Can cause myocardial depression and malignant hyperthermia

Question 7

What muscle relaxants are commonly used?

Answer 7

Depolarising- suxamethonium=most common

Non-depolarising- atracurium

Question 8

What are SE of suxamethonium?

Answer 8

Increase intra ocular pressure- avoid in eye injuries or glaucoma
Hyperkalaemia
Malignant hyperthermia

Question 9

What are SE of non depolarising?

Answer 9

Hypotension

Question 10

What analgesia should be used?

Answer 10

Often opiates e.g. fentanyl or morphine

Co-prescribe laxative and anti emetic

Question 11

What is the triad of GA?

Answer 11

Hypnosis
Muscle relaxant
Analgesia

Question 12

What is the maximum dose of lidocaine that can be given?

Answer 12

200mg

3mg/kg

Question 13

What is the maximum dose of buvicaine that can be given?

Answer 13

150mg

2mg/kg