Geriatrics Flashcards
1
Q
What anaesthetic considerations must be taken in the elderly? (5)
A
• Short acting agents best
• delayed onset: slow brain arm circulation. Therefore administer slowly and be patient
• elimination takes longer
• MAC is lower
• hypotension common: have ephedrine or phenylephrine available
2
Q
Which analgesia is best in elderly?
A
Paracetamoln or Tramadol PCA
Opioids cause confusion and nausea; NSAIDS bad for renal function and gastric bleeding
3
Q
Name 3 factors that prolong duration of action of many anaesthetics in the elderly
A
Smaller volume of distribution
Poor temperature regulation compensatory mechanism
Decrease renal and hepatic function
