Post-operative management and critical care

Question 1

Which antiemetic should be avoided in Parkinson’s disease or patients on antipsychotics?

Answer 1

Metoclopramide

Question 2

Name 2 drugs which can be used for an acute dystonic reaction

Answer 2

Procyclidine
Benzhexol

Question 3

What is a the most common site for CVP line?

Answer 3

SVC via internal jugular vein

Question 4

What is pulmonary artery occlusion pressure a measurement of?

Answer 4

Left atrial pressure - left ventricular preload

Question 5

What agents are found in cryoprecipitate?

Answer 5

Factor VII and XIII
Fibrinogen
VW factor

Question 6

How long after PEG insertion can it be used for feeding?

Answer 6

4 hours

Question 7

Name 2 agents that commonly cause malignant hyperthermia

Answer 7

Halothane
Suxamethonium

Question 8

Name a depolarising neuromuscular blocker

Answer 8

Suxamethonium

Question 9

Name 2 notable side effects of suxamethonium

Answer 9

Hyperkalaemia
Malignant hyperthermia

Question 10

Name a neuromuscular blocker that causes histamine release

Answer 10

Atracurium

Question 11

What is the normal pulmonary artery occlusion pressure?

Answer 11

8-12mmHg

Question 12

What does a low PAOP indicate?

Answer 12

Hypovolemia or ARDS (if pulmonary oedema)

Question 13

What does a high PAOP indicate?

Answer 13

Fluid overload

Question 14

What are the criteria in the qSOFA score?

Answer 14

RR 22
SBP 100
Confusion