Anaesthetics Flashcards
Which anaesthetic agent has inherent anti-emetic properties?
propofol
what anaesthetic agents has the strongest analgesic effect
Ketamine
- Few days following surgery
- Low BP
- Low sodium and potassium
- Distended abdomen
- Absolute constipation
- Despite hypovolaemia = +ve fluid balance
Ileus
Water and sodium are being lost but into a third bpody compartment meaning net fluid balance is positive
Scoring system used to assess pts pre operative morbidity
ASA
Lower the score = better pre operative physical condition
ASA I
Healthy, non smoking, no or minimal alcohol use
ASA II
Current smoker
Social alcohol drinker
Pregnancy
Obesity (BMI 30-40)
Well controlled DM / HTN
Mild lung disease
ASA III
Severe systemic disease
ASA IV
Severe systemic disease that is a constant threat to life
ASA V
Moribund pt, not expected to survive without the operation
ASA VI
Declared brain dead, organs being removed for donor purposes n