Anaesthetics Flashcards

1
Q

3 treatments for pain affecting the periphery step

A
  • Non-drug treatment (rest, ice, compression, elevation)
  • NSAID
  • Local anaesthetics
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2
Q

4 treatments for pain affecting the spinal cord step

A
-Non-drug treatment 
Massage, TENS "acupuncture"
-Opioids 
-Ketamine 
-Local anaesthetics
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3
Q

4 treatments for pain affecting the brain step

A
-Non-drug 
Psychological 
-Paracetamol 
-Opioids
-Amitriptyline
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4
Q

3 types of NSAIDs

A
  • Aspirin
  • Ibuprofen
  • Diclofenac
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5
Q

How does the oral dose of morphine vary from the IV/IM/SC dose

A

Oral dose is 2-3 times more

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6
Q

3 examples of anticonvulsant drugs used to treat pain and their advantage

A
  • Carbamazepine
  • Sodium valproate
  • Gabapentin
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7
Q

Treatment of neuropathic pain

A
  • Carbamazepine
  • Sodium valproate
  • Gabapentin
  • Amitriptyline
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8
Q

How to treat mild, moderate and severe pain

A
  • Mild = Paracetamol (+/- NSAIDs)
  • Moderate = Codeine/alternative + Paracetamol (+/- NSAIDs)
  • Severe = Morphine + Paracetamol (+/- NSAIDs)
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9
Q

Types of NIV

A
  • CPAP

- Assisted spontaneous ventilation

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10
Q

Types of invasive

A

-Endotracheal tube

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11
Q

Types of adv. resp. support

A
  • ECMO (Extracorporeal Membrane Oxygenation)

- HFOV (High Frequency Oscillatory Ventilation)

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12
Q

What is offered during cardiovascular support

A
  • Invasive monitoring with appropriate fluid resuscitation
  • Ionotropic vs vasoactive support
  • Intra-aortic balloon counter pulsation
  • Extracorporeal support (AV ECMO, VAD (Ventricular Assist Device) )
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13
Q

3 types of RRTs

A
  • CVVHDF (Continuous Venovenous Haemodiafiltration)
  • SCUF (Sustained Continuous Filtration)
  • SLED (Sustained Low Efficiency Dialysis)
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14
Q

What is hepatic dialysis

A

MARS (Molecular Absorbents Recirculating System)

Transplant only option

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15
Q

Treatment of raised ICP

A
-Management of physiological factors
PCO2 + PO2
MAP
Temp.
Glucose
  • Osmotherapy (hypertonic saline/mannitol)
  • Therapeutic hypothermia
  • Burst suppression of cerebral activity
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16
Q

Drugs used in IV general anaesthesia

A

-Propofol
-Thiopentone
-Ketamine (“in-field anaesthetic”)
+/- benzodiazepines (methohexital lowers seizure threshold )

17
Q

Drugs used in inhaled general anaesthesia

A

Halogenated hydrocarbons (e.g. desflurane +/- nitrous oxide)