Post block test

Question 1

Ph is what type of scale?

Answer 1

Log

Question 2

Base excess is a measure of what/

Answer 2

Metabolic acidosis or alklosis

Question 3

What is base excess?

Answer 3

A measure of how much base has to be removed or added to the system to correct the pH.

Question 4

If the base excess is very low?

Answer 4

Suggests a metabolic acidosis.

Question 5

What is the minimally accepted urine output?

Answer 5

0.5ml/kg.hr.

Question 6

What is a normal daily potassium requirement?

Answer 6

1mmol/kg

Question 7

What is a normal daily sodium requirement ?

Answer 7

2mmol.kg

Question 8

Normal water requirement per day?

Answer 8

25-30ml/kg

Question 9

What dose of naloxone in a post surgical patient with low RR?

Answer 9

40micrograms increments titrated until effect seen.

Question 10

How long should you withhold warfarin for before surgery?

Answer 10

5 days.

Question 11

Management of pulseless electrical activity?

Answer 11

Give aderenaline 1mg IV.

Question 12

What cannula gives the most rapid rate of infusion?

Answer 12

14G orange cannula

Question 13

Where do you insert the needle for pleural decompression?

Answer 13

2nd intercostal space, mid clavicular line.

Question 14

What dose of adrenaline during cardia arresrt?

Answer 14

1mg IV.

Question 15

What dose of adrenaline during anaphylaxis?

Answer 15

0.5mg IM.

Question 16

ABG of a patient in sudden cardiac arrest that had no bystander CPR will most likely show what?

Answer 16

Mixed resp and metabolic acidosis .

Question 17

Metformin may predispose to what acid base problem?

Answer 17

Lactic acidosis.

Question 18

When should clopidogrel be stopped before surgery ?

Answer 18

7 days.

Question 19

How does lignocaine work?

Answer 19

Blocks sodium channels,.

Question 20

Salbutamol overdose?

Answer 20

Tachycardia, tremor and anxiety.

Question 21

How does rinitdadine work?

Answer 21

Antagonises H2 receptors .

Question 22

Morphine casualness histamine release, may induce N&V, and delayed resp depression may occur in patients who have had an epidural or spinal.

Answer 22

…

Question 23

Most important life saving treatment in anaphylaxis?

Answer 23

0.5mg IM adrenaline.

Question 24

Epidural and extramural means the same therefore…

Answer 24

The epidural space is outside of the dura mater.

Question 25

The epidural space contains what?

Answer 25

Adipose tissue, venous plexus, Spinal nerve roots.

Question 26

Cardiac output and blood are reduced after opioid blockade because of what?

Answer 26

Sympathetic blockade.

Question 27

Itch is a recognised complication of which drug used in the epidural space/

Answer 27

Opioids.

Question 28

Does resp depression occur with epidural?

Answer 28

No it actually helps to maintain respiration’s.