Perioperative management Flashcards
How much Na and K is required in maintenance fluids?
Na 50-100mmol/day - 154 mmol in 1L NaCl 0.9%
K 40-80mmol/day
Which muscle relaxant causes hyperkalaemia?
Suxamethonium
It induces generalised muscular contractions and therefore results in hyperkalaemia
Which anaesthetic agent is a depolarising neuromuscular blocking drug?
Suxamethonium
(aka succinylcholine)
What is the reversal agent for non-depolarising neuromuscular blocking drugs?
Neostigmine
A deficiency in which of the enzyme will result in apnoea and will require prolonged ventillatory support following suxmethonium?
pseudocholinesterase
How long prior to surgery should clopidogrel be stopped?
5-7 days
Which anaesthetic agent is associated with hepatotoxicity?
Halothane
Which organism is mostly likely to colonise on plastic?
Staphylococcus epidermidis
- very difficult to eradicate
- forms a biofilm which allows it to colonise with other bacteria