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121 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Drug given by TIVA is |
Propofol |
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MOST potent inhalational anesthestic agent is |
Methoxy flurane |
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Mayer overtons rule |
Potency of inhalational aa is directly proportional to lipid solubility |
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In acute alcohol intoxication mac? |
Cns depressant Decreases |
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In chronic alcoholics mac? |
Increases |
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Mac 95 is ___ of mac50 |
1.3to 1.5 |
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Diffusion coefficient or blood solubility of halothane is |
High so speed of action low |
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Rotten egg smell inhalational aa is |
Desflurane |
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These two inhalational aa can be used in day care as their blood gas solubility is low |
Sevoflurane Desflurane |
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For induction of anesthesia inhalational aa of choice is |
Sevoflurane |
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For maintanence inhalational aa of choice is |
Desflurane |
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Inhalational agent of choice is |
Desflurane |
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Yellow color vapourizer inhalational aa is |
Sevoflurane |
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Deaoflurane is most potent for maintanence of anesthesia becz |
It is most stable |
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Most unstable inhalational agent is |
Halothane |
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__ metabolized and produces compound A that is nephrotoxic |
Sevoflurane |
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___ is good in dental anesthesia |
Enflurane N2O |
Isomer of isoflurane |
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In early hypoxia and hypothermia eeg becomes |
Eeg incŕeases |
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Propofol used in neurosurgeries because it |
Decreases intracranial pressure |
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Inhalational agent of choice in neurosx is |
Desflurane |
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This inhalational.aa causes bradycardia and hypotension |
Halothane |
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In 5components this is absent in inhalational.aa mainly in HISD |
Analgesia |
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This inhalational aa is best in bronchial asthma as it is |
Halothane a bronchodilator |
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Inhalational aa which shows coronary steel syndrome |
Isoflurane |
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Anesthestic agent can be used in malignant hypertension is |
Thiopentone sodium Pancuronium |
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This anaesthetic agent if used then cautery is absolutly c/i |
Ether highly inflammable |
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Inhalational.aa which is cheap Good "analgesia" and good muscle relaxant is |
Ether |
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Nitrous oxide is prepared by heating ___ at 250°c |
Ammonium nitrate |
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Gas in cylinder with blue body and white shoulder Pin index is |
N2O 50% O2. 50% Pin index 7 |
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Aa supporter of combustion |
N2O |
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Second gas effect is seen with |
N2O |
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Most of anesthetic agents acts on ___ receptors of brain |
GABA |
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Profound cvs ds iv anesthetic agent of choice is |
Opoids like Morphine Fentanyl |
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Additive added in sodium thiopentone is |
Anhydrous sodium carbonate |
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The 3 C/I of sodium thiopentone |
Ci in bronchial asthma Shock Porphyria |
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Di isopropyl alcohol can be given in patients allergic to |
Egg |
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Propofol has 3contents |
Egg lecithin Glycerol Soya bean oil |
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Most appropriate inhalational aa for pediatric pts is |
Sevoflurane |
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Aa of choice in malignant hyperthermia |
Propofol |
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Propofol infusion syndrome result due to __ enzymes |
Inhibition of mitochondrial enzymes resulting in lactic acidosis |
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Etomidate is___ derivative |
Imidazolone |
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Under these ___&____ etomidate a nonopoid can be given in cvs surgeries |
VitC Cortisol |
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Phencyclidine derivative is |
Ketamine |
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Aagent in full.stomach patients is |
Ketamine + anticholinergic like glycopylorate |
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Iv anesthestic agent of choice in bronchial asthma |
Ketamine causes bronchial dilation |
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This A agent has postoperative delirium and hallucinations |
Ketamine |
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Aagent used in stereotactic surgery is |
Dex medato midine |
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Beta blockers used as day care surgeries are |
Metaprolol Esmolol |
ME |
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Mc used combination for TIVA IS |
propofol and ramifentenyl |
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Steps in managing accidental injection into artery |
Leave canula 500 units of heparin 10ml of 1% lignocaine Vasodilator Not reacting then stellate ganglion block |
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Post operative myalgia and fasciculations seen in ___ NMB |
depolarizing |
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Suxa methanium apnea occurs in ____ due to lack of pseudocholine estrase |
Liver dysfunction |
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Succinyl choline is example.of |
Depolarizing NMB |
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In burns and trauma sch is c/i because |
It causes hyperkalemia |
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If there is anticipated difficult airway muscle relaxant of choice |
Sch |
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In rapid sequence of induction this is mandatory |
Pre oxygenation |
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Among amino steroids cvs unstable drug is |
Pancuronium |
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Muscle relaxant of choice is obstetrics is |
D tubocurare |
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Atracurium metabolism? |
Hauffman degradation |
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Fastest acting non depolarizing NMB is |
Rapa curonium |
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Shortest acting nondepolarizing NMB is |
Mivacurium |
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This electrolyte can potential action of neuromuscular blockers |
Hypermagnisemia |
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In myasthenia gravis this type of NMB is resistent |
Depolarizing |
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Suggamadex is reversal for |
Aminosteroids only |
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In trainof four T4is ___ of T1then it is reversal |
90% |
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Dr ewan magill first did |
First oro tracheal intubation |
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Length of aiway tube in males is |
22cm |
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Postion during laryngoscopy |
Atlanto occipital joint extention Neck flexion |
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Endo tracheal tube cuff pressure is |
25to 30cm of h2o |
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Surest sign for good airway intubation is |
Capnography |
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In children <6 years airway tube is |
Uncuffed |
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Armoured tube is tube of choice in |
Head and neck.sx Neuro sx Dental sx |
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RAE tube is tube.of choice in |
Cleft lip Tonsillectomy |
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In laryngeal.mask airway the tip rests on |
Base of epiglottis |
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When ET tube is.difficult to secure airway then |
LMA proseal.is used |
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Size of LMA in 60kg person |
4 |
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In.elective cervical spine injury nasal.intubation this is best |
Fibre optic airway |
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Semi closed circuit of choice in controlled ventilation |
Mapelson D |
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Co axial mapelson A |
Lacks circuit |
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Co axial mapelson D |
Bains circuit |
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More % of sodalime is by |
Calcium hydroxide |
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Co2absorber where calcium chloride and calcium hydroxide are components |
Amsorb |
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100gms of sodalime absorbs |
28l of co2 |
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In a closed anesthesia machine if there is oozing of blood in surgical.site what the surgeon asks the anesthestic to do |
Check for co2 absorber exhaution |
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Pin index of O2 cylinder is |
2, 5 |
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Pin index of co2>7% |
1,6 |
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Brown color cylinder is for |
Heliox |
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He :o2 60:40then pin index is |
4,6 |
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Pin on.machine holes on cylinders this assembly is called? |
Yolk assembly system |
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This system.prevents incorrect attachement of pipelines |
Diss diameter index safety system Comes under intermediate pressure system |
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Rotameter is in ___ pressure system |
Low |
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Pressure in intermediate pressure system.is |
55to 60psi |
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In high pressure system minimum starting pressure is |
1000psi |
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Target intraoperative bi spectral index is |
40to 60 |
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More sensitive than bis is |
Entropy |
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Bis measures |
Depth of anesthesia |
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Phase III of capnograph represents |
Only alveolar ventilation |
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Best monitor to daignose air embolism is |
Trans esophagal echocardiography |
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Law of pulse oximetry is |
Beer lamberts law |
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Jaundice and anemia on pulse oximetry |
No effect |
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Uncontrolled DM comes under which grade of asa for anesthesia |
Grade IV |
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Mallampati grading is |
Assesment of size of tongue in resepct to oral.cavity |
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A person on metformin 2.5mg now he need to undergo major cardio thoracic surgery what to do in continuation of oHD |
Surgery stress hyperglycemia so put him on insulin |
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A patient is posted for lap cholescystectomy and he is using clopidogrel and aspirin for his past heart problem what to do with these drugs? |
Continue aspirin dont stop And stop clopidogrel.before 7days |
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Stop ticlopidine before __days of sx |
14days |
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Ocps are stopped before sx ? |
No they are continued untill sx |
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Gap for medicated metal stents and elective sx |
1year |
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Which function of nerve is lost first during anesthesia |
Autonomic nervous system |
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LA which has vasoconstrictor property is |
Cocaine |
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Emla has |
Lignocaine: prilocaine 1:1 |
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Doc in differential block |
Ropivacaine |
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Best space for spinal anesthesia |
L3L4space |
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Absence of knee jerk after epidural anesthesia is ___ sign |
West paul sign |
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Mc post op complication of neuroaxial.blockade is |
Retention of urine |
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Definitive mx of post dural puncture head ach is |
Epidural blood patch |
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Mode of ventilation of choice in pediatrics is |
Pressure controlled ventilation |
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In PEEP cardiac output |
Decreases |
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This mode of ventilation requires heavy sedation and paralysis |
Cmv controlled mode ventilation |
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Respiration in neonates is measured by |
Impedence pulmonometry |
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Initial sedation fb propofol is |
Switch technique |
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Shortest acting NMB is |
Suxamethonium |
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