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Medicine👩🏼‍⚕️🩺 > Anaesthetics & Peri Op💉 > Flashcards

Anaesthetics & Peri Op💉 Flashcards

1
Q

4 NSAIDs

A

Ibuprofen
Diclofenac
Aspirin
Naproxen

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2
Q

Side effects of NSAIDs (2)

A

Gastric irritation
Renal impairment

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3
Q

3 drug interactions with NSAIDs

A

Warfarin
Heparin
Lithium

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4
Q

Side effects of opioids (5)

A

Respiratory depression
N & V
Sedation
Bradycardia
Constipation

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5
Q

Side effects of amitriptyline (5)

A

Dizziness
Drowsiness
Dry mouth
Constipation
Urinary retention

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6
Q

MOA of gabapentin

A

Calcium channel blocker

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7
Q

Analgesia to avoid in renal impairment

A

Morphine
NSAIDs - dose dependant

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8
Q

Safe analgesia in renal impairment (5)

A

Paracetamol
Oxycodone
Buprenorphine
Fentanyl
Ketamine

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9
Q

Analgesia caution in liver disease (2)

A

Paracetamol, methadone

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10
Q

Agent to reduce ICP in emergency neurosurgical induction

A

Thiopental sodium

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11
Q

Analgesic which can increase ICP

A

Ketamine

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12
Q

Anaesthetic which can cause malignant hyperthermia (2)

A

Sevoflurane and isoflurane
Suxamethonium

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13
Q

3 signs of malignant hyperthermia

A

Muscle rigidity
Hyperthermia
Skin mottling

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14
Q

Common side effect of ketamine

A

Increased salivation and secretions

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15
Q

Treatment of local anaesthetic toxicity

A

IV lipid emulsion

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16
Q

Rocuronium is often used for…

A

RSI

17
Q

Example of a non-depolarising muscle relaxant

A

Rocuronium

18
Q

1st line management malignant hyperthermia

A

IV dantrolene

19
Q

How to manage insulin before elective surgery

A

Reduce the once daily long acting dose by 20% day before

20
Q

Preferred induction agent in patients with CV problems

A

Etomidate

21
Q

Induction agent for trauma patients with haemodynamic instability

A

Ketamine

22
Q

Induction agent to avoid in adrenal insufficiency

A

Etomidate

23
Q

Common side effect of protocol

A

Pain at injection site

24
Q

Why is PEEP useful in RSI

A

Reduces risk of atelectasis

25
Q

What to do with warfarin before surgery

A

Stop 5 days before, have LMWH to bridge

26
Q

What to do with apixaban before surgery

A

Discontinue 2 days before

27
Q

What can propofol do to BP during induction

A

Hypotension - due to vasodilation

Medicine👩🏼‍⚕️🩺 (19 decks)

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