Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

No Title


Published on

  • I think you need a perfect and 100% unique academic essays papers have a look once this site i hope you will get valuable papers, ⇒ ⇐
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

No Title

  1. 1. Anaesthetics Specific induction drugs: Resp- Ketamine (no resp depression) Cardio- Etomidate (no cardiac depression) Brain- Everything except ketamine Porphyria- Propofol (but you need to find out if there are known triggers) Malignant hyperthermia- All IV drugs Obstetrics- Epidural Paeds- inhalation preferred so that intubation can be done after Liver- IV because volatile agents decrease liver blood flow kidney- spinal/epidural A pneumonic for performing RSI is the 8 Ps: Preparation — prepare all necessary equipment, drugs and back-up plans Preoxygenation — with 100% oxygen Pressure on cricoid Premedication — depending on the patient, just the hypnotic agent Paralyze — suxamethonium or rocuronium Pass the tube — visualize the tube going through the vocal cords Proof of placement — using a reliable confirmation method Post intubation care — secure the tube, ventilate On Conscious Sedation for Minor Procedures in Adults Do not use an anticholinesterase to reverse sux as they have a different MOA compared to non- depolarising muscle relaxants. Sux duration of action is 6-12 min & in old people its effects are prolonged as they have lower cholinesterase levels.(think scoline apnoea)To reverse a non-depolarising muscle relaxant give a anticholinesterase + anticholinergic to reverse the side effects of the anticholinesterase. Factors precipitating acute attack of Porphyria SAD FACE: S-Smoking A-Alcohol D-Drugs F-Fasting A-Abuse of Substances C-Cyclical factors ie menstruation E-Emotional stress Pharmacological changes with aging "Crumbly Old Fasted People Remember Horrible Wars" Cardiac Output decreased Fat content increased Protein binding decreased Renal function decreased Hepatic BF (& enzyme activity) decreased Water (TBW) decreased
  2. 2. Some random drug facts Drugs that depress the heart include: halothane, nitrous oxide, Propofol, Thiopental Induction of choice for heart problems: Etomidate Should you not be able to use Sux in RSI because of patient contra-indications use Rocuronium as it is the fastest acting non-depolarising muscle relaxtant Failed intubation causes: (INTUBATION) Infections of larynx Neck mobility abnormalities Teeth abnormalites (eg poor dentifom, loose and protuberant teeth) Upper airway abnormalities, strictures, or swellings Bullsneck deformities Ankylosing spondylitis Trauma/ Tumour Inexperience Oedema of upper airway Narrowing of lower airway Porphyrias: acute intermittent porphyria symptoms 5 P's: Pain in abdomen Polyneuropathy Psychologial abnormalities Pink urine Precipitated by drugs (eg barbiturates, oral contraceptives, sulpha drugs)