PassMedicine Acute Care Flashcards
what airway mgt is ideal for pts with seizures
npa
why would a nasopharyngeal airway be contraindicated?
in base of skull fractures
Whilst performing a pre-anaesthetic assessment, a young patient mentions that her mother ‘had a bad reaction to some of the drugs’ during an appendicectomy procedure many years ago and had to stay in intensive care on a ventilator for a short time after the operation. There were no long term complication. What condition should you be most worried about?
pseudocholinesterase deficiency
There are two main categories of muscle relaxants used in anaesthesia:
depolarising and non depolariing muscle relaxants
eg depolarising muscle relaxant
Suxamethonium
eg non depolarising muscle relaxants
Rocuronium, mivacurium, and pancuronium
what is suggamadex
reversal agent used for neuromuscular blocks
A patient is administered local anaesthetic at the end of an operation. The surgeon infiltrates 20ml of 2% lidocaine.
How many mg of lidocaine does this amount to?
A 2% strength liquid medicine means that 2g of the drug are dissolved in 100ml
so 400mg
what is malignant hyperthermia
Malignant hyperthermia (MH) is an autosomal dominant disorder presenting as a hypermetabolic crisis characterised by an increased end-tidal carbon dioxide [ETCO2] (hypercapnia), tachycardia, muscle rigidity, rhabdomyolysis, hyperthermia, and arrhythmia. It is commonly associated with volatile inhalational anaesthetic agents and the muscle relaxant succinylcholine (suxamethonium).
how to treat malignant hyperthermia
IV dantrolene therapy
what is a contraindicated to LMA
being non fasted
how are post op wounds cleansed
Use sterile saline for wound cleansing up to 48 hours after surgery.
Advise patients that they may shower safely 48 hours after surgery.
