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Anaesthesia > Module 10 Critical care > Flashcards

Module 10 Critical care Flashcards

(35 cards)

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1
Q

What are the aspects of critical care that need to be managed
An example of a standardised care bundle in an intensive care unit would include

A

FASTHUG
F: Feeding
A: Analgesia
S: Sedation
T: Thromboprophylaxis
H: Head-of-bed elevation
U: Gastric ulcers
G: Glucose control

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2
Q

What are the 4 major pharmaceutical complications of Anaesthesia

A
  1. MH
  2. Scoline apnea
  3. Porphyria
  4. Halothane hepatitis
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3
Q

What is the genetic defect in MH

A

There is an inherited error with the calcium channel receptors

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4
Q

What are the triggers of MH

A
  1. All volitiles
  2. Sux
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5
Q

What is the early presentation of MH

A
  1. Hypercapnia
  2. Increased O2 extraction
  3. Tachypnea
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6
Q

What are the late signs of MH

A
  1. Cyanosis
  2. Muscle rigidity
  3. Hyperthermia
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7
Q

What are the consequences of MH

A

Renal and hepatic failure and cerebral edema

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8
Q

What is the management of MH

A
  1. Discontinue the trigger
  2. Call for help
  3. Ventilate the patient at 100%
  4. Administer Dantrolene
  5. Cool the patient
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9
Q

What is the abnormality in scoline apneoa

A

There is absence or abnormal pseudocholinesterase

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10
Q

What are the 4 steps in the treatment of scoline apnea

A
  1. Ventilate the patient
  2. Sedate the patient
  3. FFP
  4. Get the patient a mediac bracelet
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11
Q

What are the triggers for an acute attack of porphyria

A
  1. Thiopentone
  2. Pain
  3. Infection
  4. Starvation
  5. Dehydration
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12
Q

What type of hypersensitivity is halothane hepatitis

A

Type 2

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13
Q

What are the risk factors for PONV related to the patent

A
  1. Young
  2. Female
  3. Motion sickness
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14
Q

What are the anaestetic agents that cause ponv

A
  1. N2O
  2. Ketamine
  3. Etomidate
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15
Q

What are the types of surgury that have a high risk of PONV

A
  1. Ear
  2. Eye
  3. Laparoscopy
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16
Q

What are the 3 possible causes of nerve damage in anaestesia

Study These Flashcards
A
  1. Position in of the arms
  2. Neuroaxial blocks
  3. Hypoperfusion of the spinal cord
17
Q

What are the 4 consequences of hypothermia

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A
  1. Platelet dysfunction
  2. Delayed drug metabolism
  3. Arrythmias
  4. Post op shivers
18
Q

What are the steps that should be taken in a failed intabation

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A

Call for help!
100% oxygen
Reposition
Difficult airway trolley
Ventilate between attempts
BACKUP AIRWAY

19
Q

What are the possible differential for rising airway pressures

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A
  1. Obstructed ETT
  2. Circut blockage
  3. Kink
  4. Bronchospasm
  5. Mucus plug
  6. Pneumothorax
20
Q

What colur is opiods

21
Q

What colour is induction agents

22
Q

What colour is a muscle relaxant

23
Q

What colour is a seditive

24
Q

What color is a vasopressor

25
What colour is an anticholinergic
Green
26
What colour is a reversal agent
Red cross hatched
27
What is naloxone color
Blue and white crosshach
28
What colour is a hypotensive
Purple crosshatch
29
What are the 3 most common tiggers of anaohalaxis
1. Antibiotics 2. Muscle relaxants 3. Latex
30
What is the classical triad seen i anaphylaxis
1. CVS collapse 2. Bronchospasm 3. Skin changes
31
WHat is the dose of adreniline IM and IV
IM 0.5mg IV 10-50ug
32
What is the most common presentation of the intubation response under general anaesthesia?
Tachy and hypertension
33
What is the most common cause of anaphylaxis in the preoperative setting?
Muscle relaxants
34
Why is intraoperative hypothermia potentially hazardous?
A higher risk of infections and delayed awakening
35
High care units (HCUs) and Intensive Care Units (ICUs) share similar features. Which modality is usually only undertaken in an ICU?
Mechanical vent

Anaesthesia (13 decks)

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