anaesthetics Flashcards
What’s your favourite crossword
The times
3 principles of anaesthetics
hypnosis
anaelgesia
muscle relaxant
Name 3 drugs you can take on the morning of surgery
ACEi Digoxin Most abx (except tetracycline, aminoglyclosides and colistin) Statins Bronchodilators Steroids (should increase this) Anticonvulsants Levodopa
3 drug classes you cannot take the morning of surgery
Anticoagualants
Aspirin, Clopidogrel, prasugrel and ticagrelor
NSAIDS
Diuretics
Insulin (short acting, long acting is ok)
What is bridging
Switching from warfarin to LMWH so it can be stopped quicker pre-op
What should be done with a steroid dose before surgery
It should be increased in line with sick day rules
3 drugs you should stop earlier than 1 day pre-op
CCP
SSRI
Opthalmic drugs
What should INR be before surgery?
less than 2
Which professional makes the assessment of a patients suitability for anaesthesia
The
wait for it
anaesthetist
Get yourself a cookie if you got that right
What are the aims of pre-op care?
Get the right surgery
Are happy and pain free
Are as fit as possible
Make an informed decision on anaesthetic care
11 things on an anaesthetics past history screen
MI/IHD Asthmas/COPD HTN Rheumatic fever Epilepsy Liver/renal disease Dental problems Neck problems GI reflux/vomiting Previous anaesthesia problems Recent GA
Family hx to ask about pre-op
Malignant hyperthermia Dystrophia myotonica Porphyria Problems with muscle relaxants Sickle cell
Who consents a patient for anaesthetics for an operation
The anaesthetist
However the ward doctor should be involved and may well prepare the patient prior to this consenting process by informing them of potential complications
Give 4 indications for U+E’s prior to surgery
On diuretics Diabetes Burns victim Major trauma Hepatic/renal disease Intestinal obstruction/ileus Parenteral nutrition
What ASA grades should you do ABG’s on?
3-4
severe systemic disease that limits activity +/-incapacitating
