Monitoring Flashcards

1
Q

Monitoring required for anaesthetics

A
ECG
NIBP
Pulse oximeter
Airway pressure
Airway gases
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2
Q

NIBP

A

Non invasive blood pressure

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3
Q

Airway gases monitored

A

O2
CO2
Anaesthetic agents

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4
Q

ECG monitoring

A

Three lead
Usually use lead II
Can use either I,II or III though

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5
Q

ECG electrode placement

A

Ride Your Green Bike

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6
Q

Indications for invasive BP monitoring

A
  • Patient unstable e.g. hypovolaemia
  • Critical perfusion states e.g. carotid stenosis
  • Deliberate induced hypotension e.g. middle ear surgery
  • Movement artefact e.g. during transfer
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7
Q

Pulse oximeter mechanism

A

Differences in absorption of Red light vs infrared by oxy Hb vs deoxy Hb

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8
Q

Formula used by pulse oximeter to calculate sats

A

SpO2 = 100 x [HbO2] / [Deoxy Hb] + [HbO2]

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9
Q

Approximate PO2 from SpO2 98%

A

14

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10
Q

Approximate PO2 from SpO2 96%

A

12

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11
Q

Approximate PO2 from SpO2 93%

A

10

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12
Q

Approximate PO2 from SpO2 90%

A

8

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13
Q

Approximate PO2 from SpO2 80%

A

6

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14
Q

Approximate PO2 from SpO2 58%

A

4

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15
Q

Approximate PO2 from SpO2 22%

A

2

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16
Q

Causes of artefact in pulse oximetry

A

Pulse plethysmograph
Extraneous light
Carboxyhaemoglobin
Movement artefact

17
Q

CO measurement

A

oesophageal doppler

pulse contour analysis

18
Q

Pulse contour analysis

A

use of arterial waveform to estimate stroke volume

19
Q

Haldane effect

A

Higher affinity of Hb for CO2 at lower PaO2

20
Q

CIs to cannula

A

lymph removal
fistula
prvs DVT/infection

21
Q

Cannula size

A
24G (neoflon)
22G blue
20G pink
18G green
16G grey
14G orange