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Year 4 Acute Care > PassMedicine Anaesthetics > Flashcards

PassMedicine Anaesthetics Flashcards

1
Q

Ileus presents with what after surgery before N+V ?

A

Hypovokaemia and electrolyte disturbances

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2
Q

What are the causes of malignant hypertension and how do you treat it?

A

Inhaled anaesthetic agents
Suxamethonium

IV Dantrolene

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3
Q

What is malignant hypertension?

A

Aut Dom disorder presenting as a hyper metabolic crisis characterised by an increase msk end tidal co2 (hypercapnia) tachycardia muscle rigidity rhabdonyolysis hyperthermia arrhythmia

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4
Q

What is the reversal agent for Benzos?

A

Flumazenil

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5
Q

What does 2% strength liquid medicine mean.

A

2g of the drug are dissolved in 100ml

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6
Q

Treat anastomotic leak

A

Urgent surgery no matter what time

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7
Q

Not respiratory effort after being extubated - what’s the problem?

A

Suxamethonium apnoea

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8
Q

Is dehydration a risk factor for DVT?

A

Yes

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9
Q

Why is suxamethonium contraindicated in penetrating eye injuries or glaucoma

A

Increases IOP

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10
Q

What are the food and drink rules before GA

A

No food for 6 hours and no clear fluids for 2 hours before op

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11
Q

What should you do if you see a wound de hiss?

A

Call for senior help urgently

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12
Q

ASA1

A

A normal healthy patient

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13
Q

ASAII

A

A patient with mild systemic disease

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14
Q

ASAIII

A

A patient with severe systemic disease

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15
Q

ASAIV

A

A patient with severe systemic disease that is a constant threat to life

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16
Q

ASAV

A

A moribund patient who is not expected to survive without the operation

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17
Q

ASAVI

A

A declared break. Dead patient whose organs are being removed for donor purposes

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18
Q

If a patient was high risk for stroke prior to surgery how would you stop there warfarin?

A

Stop a week before and commence treatment dose LMWH which can be withheld the evening before surgery

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19
Q

Can the OCP be used prior to surgery?

A

No stop 28 days before the procedure

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20
Q

How would you feed a patient after an oesophagectony in a ward?

A

Feeding jejunostomy

21
Q

How does lidocaine work?

A

Blocks Na channels

22
Q

If the patient is found to be markedly anaemia prior to surgery, what is the treatment

A

Blood transfusion

23
Q

If there is a definite chance of transfusion during surgery what would you do prior to it

A

Cross match 4-6 units

24
Q

If there is a likely chance of transfusion what should you do before surgery?

A

Cross match 2 units

25
Q

If the chance of transfusion needed during surgery is low what do you do?

A

Group and save only

26
Q

How to get fluids in a patient quickly in a peripherally shut down patient

A

Intraosseuous infusion

27
Q

What are the two lines used for long term therapeutic requirements?

A

Groshong

Hickman.

28
Q

What would you use to wean a oatient off a ventilator?

A

Tracheostomy

29
Q

Airways maintenance for a quick day case procedure

A

LMA

30
Q

Airway for patients getting a laparotomy

A

Endotracheal intubation

31
Q

VTE prophylaxis after elective hip replacement lasts for how long

A

28 days

32
Q

VTE prophylaxis after elective knee replacement lasts for how long

A

14 days

33
Q

VTE prophylaxis after hip fracture lasts for how long

A

28 days

34
Q

If you are a current smoker which ASA do you get

A

2

35
Q

Fever <24 hours after surgery

A

Could be a physiological response to surgery

36
Q

How long after surgery before a patient can receive pharmacological vte prophylaxis?

A

6-12 hrs after surgery

37
Q

If a patient having surgery is on prednisalone what happens

A

They get hydrocortisone supplementation

38
Q

Being non fasted means you can’t use what type of airway

A

LMA

39
Q

Which drugs slow bone healing?

A

NSAIDS

40
Q

Which anaesthetic agent has anti emetic properties?

A

Propofol

41
Q

Halothane is known to be toxic to what

A

The liver

42
Q

Most common site for IO access

A

Proximal tibia

43
Q

BMI >40 automatically gives an ASA of

A

40

44
Q

Excessive IV infusions can cause what

A

Oedema cardiac failure hyperchloraemic acidosis

If large volumes are required use Hartmans

45
Q

Why not use adrenaline in toe blocks

A

Can cause digital ischaemia

46
Q

How can local anaesthetic toxicity be treated?

A

IV 20% lipid emulsion

47
Q

What reverses a heparin overdose

A

IV protamine sulfate

48
Q

Intraoperative hypo/hyperthermia causes excessive bleeding in theatre

A

Hypothermia

Year 4 Acute Care (18 decks)

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