Anaesthetics Flashcards
3 treatments for pain affecting the periphery step
- Non-drug treatment (rest, ice, compression, elevation)
- NSAID
- Local anaesthetics
4 treatments for pain affecting the spinal cord step
-Non-drug treatment Massage, TENS "acupuncture" -Opioids -Ketamine -Local anaesthetics
4 treatments for pain affecting the brain step
-Non-drug Psychological -Paracetamol -Opioids -Amitriptyline
3 types of NSAIDs
- Aspirin
- Ibuprofen
- Diclofenac
How does the oral dose of morphine vary from the IV/IM/SC dose
Oral dose is 2-3 times more
3 examples of anticonvulsant drugs used to treat pain and their advantage
- Carbamazepine
- Sodium valproate
- Gabapentin
Treatment of neuropathic pain
- Carbamazepine
- Sodium valproate
- Gabapentin
- Amitriptyline
How to treat mild, moderate and severe pain
- Mild = Paracetamol (+/- NSAIDs)
- Moderate = Codeine/alternative + Paracetamol (+/- NSAIDs)
- Severe = Morphine + Paracetamol (+/- NSAIDs)
Types of NIV
- CPAP
- Assisted spontaneous ventilation
Types of invasive
-Endotracheal tube
Types of adv. resp. support
- ECMO (Extracorporeal Membrane Oxygenation)
- HFOV (High Frequency Oscillatory Ventilation)
What is offered during cardiovascular support
- Invasive monitoring with appropriate fluid resuscitation
- Ionotropic vs vasoactive support
- Intra-aortic balloon counter pulsation
- Extracorporeal support (AV ECMO, VAD (Ventricular Assist Device) )
3 types of RRTs
- CVVHDF (Continuous Venovenous Haemodiafiltration)
- SCUF (Sustained Continuous Filtration)
- SLED (Sustained Low Efficiency Dialysis)
What is hepatic dialysis
MARS (Molecular Absorbents Recirculating System)
Transplant only option
Treatment of raised ICP
-Management of physiological factors PCO2 + PO2 MAP Temp. Glucose
- Osmotherapy (hypertonic saline/mannitol)
- Therapeutic hypothermia
- Burst suppression of cerebral activity