Anaesthetics- Critical Care

Question 1

Difference between type 1 and 2 respiratory failure?

Answer 1

Type 1- oxygenation failure only

Type 2- oxygenation and ventilation failure so build up of CO2

Question 2

Management of type 1 respiratory failure?

Answer 2

Oxygen

Question 3

Management of type 2 respiratory failure?

Answer 3

Continuous positive airway pressure and oxygen

Question 4

RECPA- what is shock?

Answer 4

Acute circulatory failure with inadequate distribute tissue perfusion resulting in cellular hypoxia

Question 5

Types of shock?

Answer 5

Distributive- septic
Hypovolaemic
Anaphylactic
Neurogenic
Cardiogenic

Question 6

What is, by far, the most common type of shocj?

Answer 6

Septic shock

Question 7

What do you give a patient who is hypotensive?

Answer 7

Fluid

Question 8

Which equation allows the calculation of cardiac output?

Answer 8

CO= HR x SV

Question 9

In terms of fluids, what’s the difference between colloids and crystalloids?

Answer 9

Colloids- fluid with larger molecules in it with osmotic activity e.g. albumin

Crystalloids- fluid with small molecules in it e.g. sodium, potassium

Question 10

List some crystalloids.

Answer 10

Saline, dextrose, plasmalite

Question 11

Why is dextrose a terrible resuscitation fluid?

Answer 11

Immediately gets metabolised to water in the bloodstream by RBCs