QUESMED/PASSMED notes Flashcards
If a patient’s sats drop after intubation, what is it due to?
Oesophageal Intubation itself
What kind of shock should be suspected in patients following a trauma if they do NOT have tachycardia and there is no sign of bleeding (so no haemorrhage)?
NEUROGENIC SHOCK
due to spinal cord transection
What is the Parkland’s formula for working out the amount of Hartmann’s to be given over 2 hours in a burns patient?
4ml x % body surface area x weight (kg)
= ml of Hartmann’s to be given in first 24 hours
Which Anaesthetic is best for HYPOTENSIVE patients?
Ketamide is best for HYPOTENSIVE patients
What should be suspected if a patient has JUST a fever with no other symptoms in the first 24 hours following a surgery?
A PHYSIOLOGICAL reaction to the surgery itself
What should be done if a patient has minimal abdominal bleeding with NO Haemodynamic Compromise?
NOTHING- otherwise you would need a LAPAROTOMY if there was
When should COCPs be stopped prior to a surgery?
4 weeks before
What are Hepatic Haemangiomas?
What do they look like on Ultrasound?
Benign Liver Growths that are Asymptomatic
They look HYPERECHOIC on Ultrasound
What are the signs of Small Bowel Obstruction?
What is first line and what is definitive?
(usually due to SURGERY- Adhesions- risk reduced by LAPAROTOMY rather than OPEN surgery)
GREEN Vomit
Cramping
Constipation and abdominal distension
First Line- Abdominal X-ray
Definitive- CT
What are the only Antidiabetics that can be continued on the day of the surgery?
DPP4 (-gliptins) and GLP-analogues (-tides)
What is unsafe to use in patients who have eaten recently?
Laryngeal Mask
What is used in Breast Cancer patients who are NODE POSITIVE?
FEC-D Chemotherapy
Which transfusion components give the highest risk of transfusion associated lung injury? And what is seen on CXR?
Plasma components
Bilateral Pulmonary Infiltrates are seen on CXR
