Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Anaesthesia > Sedation in medically comprimised pateints > Flashcards

Sedation in medically comprimised pateints Flashcards

1
Q

Which ASA pateints should be treated in specialist facilities?

A

3/4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which medically compromised pateints should sedation be considered in?

A

dental phobics and anxiety
medical illnesses aggravated by stress
involuntary movements which compromised quality of dental care
need a surgical procedure where LA alone is not good enough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

If someone has 2/3 attacks of angina per week, what ASA are they?

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the effect of sedation on CVS?

A

it reduces the workload

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which type of sedation is best for people with CVS disease?

A

inhaltion using NO and O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the effect of NO and O on the myocardium?

A

It increases blood flow to the myocardiu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What should be done in cases when IV sedation is used in people with CVS disease?

A

use O2 as suuplemental

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

People with unstable angina, what should be done prior to sedation?

A

needs to have a medical consultation first?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When should you use NO/O in peple with unstable anginaa?

A

only in an emergency situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What percentage of people that have suffered an MI and treated within 3 months pf this have another episode?

A

36%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long should you give before treating someone that has suffered an MI?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What type od sedation should you provide in people that have suffered an MI?

A

NO/O inhaltonal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 2 types of hypertenson?

A

essential and secondary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which type of hypertenson, essential or secondary, is most common?

A

essential

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a risk for people taken anti hypertensive drugs?

A

postural hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

T/F people that suffer from hypertension have a poor response to stress?

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T/F Only inhalational sedation is appropriate in people suffering from hypertension?

A

F

can use Oral, IV, Inhaltional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What affect does hypertension have on LA?

A

Need a good quality LA so can reduce the overall amount used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is valvular heart disease?

A

disease involving one or more of the heart valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which side of the heart are valvular heart diseases more common? which valves are therefore most commonly effected?

A

in left side due to higher pressures

Aortic and mitral

21
Q

What are the two main types of valvular heart disease?

A

Stenosis and regurgitation

22
Q

WHat is valvular stenosis?

A

narrowing stiffening thickening or fusion of the heart valves

23
Q

What is valvular regurgitation?

A

this is when the heart valves are incompetant

24
Q

What 2 things must you avoid in people with valvular heart disease?

A

stress and hypoxia

25
Q

What two common respiratory diseases benefit from sedation?

A

asthma and COPD

26
Q

How many people in the UK are affected by asthma?

A

10-15%

27
Q

What drugs should you avoid in asthmatics?

A

NSAIDS

28
Q

WHat is asthma?

A

chronic inflammatory condition of the lung airways

29
Q

What can both IV and Inhaltional sdation provide in asthmatics?

A

anxiolysis with no airway irratation

30
Q

What is COPD?

A

obsrtucive lung disease with limited airflow and persistant inflammation in the lungs

31
Q

What two diseases are a common cause of COPD?

A

chronic bronchitis and emphysema

32
Q

What are the symptoms of COPD?

A

couth sputum wheeze and breathlesssness

33
Q

How do people with COPD repsire?

A

they rely on the hypoxic drive

34
Q

What type of sedation can be used in people with thyorid disease?

A

oral inhalational and IV

35
Q

Which drugs do you need to be careful in with people suffering from hypothyroidism?

A

CNS depressants

36
Q

Which drugs do you ned to be careful in with people suffering from hyperthyroidism?

A

LA with adrenaline

37
Q

Which two systemic diseases is it important to avoid prevnt hypoxia and provide anxiolysis?

A

people suffering from a stroke

people with valvular heart disease

38
Q

Which type of sedation is more beneifical in people suffering from a stroke?

A

Inhalational sedation especially if the cognitive ability is low

39
Q

People with myasthenia gravis should be offered which type of sedaton?

A

inhaltional using NO since need to avoiud muscle relaxants eg BZD

40
Q

What is the effect of renal disease on sedation?

A

impaored renal function means increased drug blood levels however one off doses are fine

41
Q

Which type of sedation is best in people with hepatic disease?

A

inhaltional

42
Q

T/F pulse oximetry will help identify anaemias?

A

F

43
Q

People suffering from porphyria should avoid given them what?

A

BDZ

44
Q

People with malognant hyperpyrexia should be careful with what?

A

Lignocaine

45
Q

People suffering from suxamthonium apnoea should be careful with what?

A

articaine

46
Q

what drugs enance sedation efects?

A 
alchohol
opioids
antidepressants
antihistamines
antipsychotics
47
Q

drugs which increase the level of midazolam include?

A

KEC
ketoconazole
eryhromycin
Ca Channel blockers

48
Q

What is the effect of antihypertensives on sedation?

A

enhanced hypotension

Anaesthesia (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions