anasthetics

Question 1

how long to withold aspirin prior to surg

Answer 1

at least 7 days

Question 2

What is the most appropriate method to assess the need to titrate analgesia in the post-operative setting

Answer 2

ability to cough and take deep breaths

Question 3

Clin f of high/total/sympathetic block

Answer 3

peripheral vasodil-> bradycardia, hypotension
Resp arrest and loss of consciousness -> late signs

Question 4

Post op cx timelines

Answer 4

<1d: airway obs, reactive hemorrhage, acute ptx
1-5d: acute CVA, acute MI, pyrexia due to atelectasis
1-7d: post op urinary retention, renal impairmeent/ failure
5-10d: delirium tremens
7-10d: chest/wound/urinary inf, secondary hemorrhage
10-14d: VTE, wound dehisence

Question 5

WHich meds are ass with malignant hyperthermai

Answer 5

volatile inhalation anasthetic agents: sevoflurane, desflurance, isoflurance
suxamethonium

Question 6

Clin F of malignant hyperthermia

Answer 6

fever
tachycardia
rigidity
increasing ETC02

Question 7

Which scoring tool shhould be used to assess need for VTE ppx in surg pts

Answer 7

caprini score

Question 8

clin f aspiration pneumonitis

Answer 8

presents within 2-5 hours of aspiration event
SOB
cough
CXR- infiltrates
hypoxia

Question 9

Cx of aspiration pneumonitis

Answer 9

acute resp distress syndrome

Question 10

mng of aspiration pneumonitis

Answer 10

oxygen
position upright
close monitoring
ABX only if bacterial inf suspected
+/- mechanical ventilation

Question 11

most concerning SFX for rocuronium, atracuranium

Answer 11

anaphylaxis

Question 12

most concering sfx of propofol

Answer 12

hypotension

Question 13

most concerning SFX for fentanyl

Answer 13

sedation
resp depression
n/v

Question 14

RF for post op n/v

Answer 14

female
non smoker
hx of PONV, motion sickness
use of opiods post op

Question 15

SFX of ketamine

Answer 15

hallucinations and dissociation
tachycardia
HTN
resp dep, n/v, cognitive impairment