Neurological

Question 1

Causes: PaO2 <50mmHg

Clinical Signs: brain herniation

Concerns: head elevated at induction, positioning, care when ventilating, keep PaCO2 low, adequate depth whilst intubating, good analgesia on recovery

Drug Interactions: mannitol, diuretics and hypertonic saline to reduce, propofol can maintain pressures, sevo over iso, NO KETAMINE (increases pressures),

Answer 1

Intracranial Pressures

Question 2

Causes: many

Clincial signs: mobility and neuropathic issues

Concerns: pain, ket and gaba good

Answer 2

Spinal Disease

Question 3

Causes:

Clinical signs

Concerns: avoid excitement, aspiration risk

Answer 3

Neuropathies/neuromuscular disease

Question 4

Causes: idiopathic

Clinical signs: seizures

Concerns: PUPD, IV access,

Drug Interactions: phenobarbital (Increase ALKP, decrease Ca), potassium bromide (false elevated chloride), NO benzos, low dose ACP

Answer 4

Epilepsy