Anaesthetics

Question 1

airway manouver if c-pine injury

Answer 1

jaw thrust

Question 2

most commonly used airway in ITU

Answer 2

tracheostomy

Question 3

what must be monitored in ET tube

Answer 3

capnography -end tidal CO2

Question 4

what airway control is paralysis require

Answer 4

ET tub e

Question 5

name anaesthetic agents

Answer 5

Ket
Propofol
Etomidate
sodium thiopentone

Every
Person
Should
Ketamine

Question 6

anaesthetic of choice for rapid sequence induction
muscle relaxant for RSI

Answer 6

sodium thiopentone
sux

Question 7

what anaesthetic agent causes adrenal suppresion

Answer 7

etomidate

Question 8

why is Ket useful in trauma

Answer 8

doesnt cause drop in BP

Question 9

what anaesthetic agent is used in cases of haemodynamic instability

Answer 9

Etomidate - nto as bad for BP as propofol and sodium thio

Question 10

what is malignant hyperthermia and when is it seen

Answer 10

after anaesthetic agents hyperpyrexia and rigidity

Question 11

what agent is bad for malignant hyperthermia

Answer 11

sux

Question 12

management of malignant hyperthermia

Answer 12

dantrolene

Question 13

ix of malignant hypertehrmia

Answer 13

raised CK + contracture test

Question 14

what is the only depolarising muscle relaxant

Answer 14

sux

Question 15

contraindication to sux

Answer 15

raised intraocular pressure

Question 16

whta type of feeding tube is appropriate following upper GI surgery

Answer 16

NJ tube
feeding jejunostomy for longer term feeding

Question 17

long term side effect of TPN

Answer 17

fatty liver and deranged LFT’s

Question 18

what IV fluid contains lactate

Answer 18

hartmanns

Question 19

what Iv fluid contains bicarb

Answer 19

plasma

Question 20

what IV fluid is not recommended post op

Answer 20

5% dextrose and dextrose/saline combo

Question 21

causes of post-op fever

Answer 21

Wind- atelectasis and pneumonia
Water - UTI
Walking- DVT
Wound- cellulits
Wonder drug - drugs that cause fever

Question 22

what bloods should be checked in a post-op ileus

Answer 22

magnesium
potassium
phosphate

Question 23

management of post-op ileus

Answer 23

NBM
NG if vom
Iv fluids
TPN

Question 24

what should be done with sulfys prior to surgery

Answer 24

omit doses on day of prior to surgery

Question 25

what shoudl be doen with metformin doses surrounding surgery

Answer 25

keep as normal if taken three times daily omit lunch dose

Question 26

what diabetic drugs should be ommitted on the day of surgery

Answer 26

Sulfy and SGLT-2

Question 27

what should be done with insulins on surgery day

Answer 27

LANTIS and LEVEMIR - dose reduce by 20% day before and day of MIXED - half dose on morning of

Question 28

what cover is needed in carcinoid surgery

Answer 28

octreotide

Question 29

what surgeries need pre-op abx prophylacis

Answer 29

placement of prosthesis or valve clean-contaminated surgery contaminated surgery

Question 30

thermometers used pre-op and intraoperatively

Answer 30

DONT USE infra-red tympanic pre-op = axillary and sublingual devices intra-op = oesophageal probes

Question 31

what is used for VTE prophylaxis

Answer 31

fondparinux LMWH- enoxaparin unfrac heparin - in CKD patients

Question 32

when are diff VTE prophylaxis methods used

Answer 32

MEDICAL low =pharmalogical high risk = pharma + stockings SURGICAL low= stocking high = both

Question 33

how long before surgery should the COCP/HRT be stopped

Answer 33

4 weeks

Question 34

how long should you anti coag someone post knee replacemnt

Answer 34

2 weeks