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121 Cards in this Set

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Drug given by TIVA is

Propofol

MOST potent inhalational anesthestic agent is

Methoxy flurane

Mayer overtons rule

Potency of inhalational aa is directly proportional to lipid solubility

In acute alcohol intoxication mac?

Cns depressant


Decreases

In chronic alcoholics mac?

Increases

Mac 95 is ___ of mac50

1.3to 1.5

Diffusion coefficient or blood solubility of halothane is

High so speed of action low

Rotten egg smell inhalational aa is

Desflurane

These two inhalational aa can be used in day care as their blood gas solubility is low

Sevoflurane


Desflurane

For induction of anesthesia inhalational aa of choice is

Sevoflurane

For maintanence inhalational aa of choice is

Desflurane

Inhalational agent of choice is

Desflurane

Yellow color vapourizer inhalational aa is

Sevoflurane

Deaoflurane is most potent for maintanence of anesthesia becz

It is most stable

Most unstable inhalational agent is

Halothane

__ metabolized and produces compound A that is nephrotoxic

Sevoflurane

___ is good in dental anesthesia

Enflurane


N2O

Isomer of isoflurane

In early hypoxia and hypothermia eeg becomes

Eeg incŕeases

Propofol used in neurosurgeries because it

Decreases intracranial pressure

Inhalational agent of choice in neurosx is

Desflurane

This inhalational.aa causes bradycardia and hypotension

Halothane

In 5components this is absent in inhalational.aa mainly in HISD

Analgesia

This inhalational aa is best in bronchial asthma as it is

Halothane a bronchodilator

Inhalational aa which shows coronary steel syndrome

Isoflurane

Anesthestic agent can be used in malignant hypertension is

Thiopentone sodium


Pancuronium

This anaesthetic agent if used then cautery is absolutly c/i

Ether highly inflammable

Inhalational.aa which is cheap


Good "analgesia" and good muscle relaxant is

Ether

Nitrous oxide is prepared by heating ___ at 250°c

Ammonium nitrate

Gas in cylinder with blue body and white shoulder


Pin index is

N2O 50%


O2. 50%


Pin index 7

Aa supporter of combustion

N2O

Second gas effect is seen with

N2O

Most of anesthetic agents acts on ___ receptors of brain

GABA

Profound cvs ds iv anesthetic agent of choice is

Opoids like


Morphine


Fentanyl

Additive added in sodium thiopentone is

Anhydrous sodium carbonate

The 3 C/I of sodium thiopentone

Ci in bronchial asthma


Shock


Porphyria

Di isopropyl alcohol can be given in patients allergic to

Egg

Propofol has 3contents

Egg lecithin


Glycerol


Soya bean oil

Most appropriate inhalational aa for pediatric pts is

Sevoflurane

Aa of choice in malignant hyperthermia

Propofol

Propofol infusion syndrome result due to __ enzymes

Inhibition of mitochondrial enzymes resulting in lactic acidosis

Etomidate is___ derivative

Imidazolone

Under these ___&____ etomidate a nonopoid can be given in cvs surgeries

VitC


Cortisol

Phencyclidine derivative is

Ketamine

Aagent in full.stomach patients is

Ketamine + anticholinergic like glycopylorate

Iv anesthestic agent of choice in bronchial asthma

Ketamine causes bronchial dilation

This A agent has postoperative delirium and hallucinations

Ketamine

Aagent used in stereotactic surgery is

Dex medato midine

Beta blockers used as day care surgeries are

Metaprolol


Esmolol

ME

Mc used combination for TIVA IS

propofol and ramifentenyl

Steps in managing accidental injection into artery

Leave canula


500 units of heparin


10ml of 1% lignocaine


Vasodilator


Not reacting then stellate ganglion block

Post operative myalgia and fasciculations seen in ___ NMB

depolarizing

Suxa methanium apnea occurs in ____ due to lack of pseudocholine estrase

Liver dysfunction

Succinyl choline is example.of

Depolarizing NMB

In burns and trauma sch is c/i because

It causes hyperkalemia

If there is anticipated difficult airway muscle relaxant of choice

Sch

In rapid sequence of induction this is mandatory

Pre oxygenation

Among amino steroids cvs unstable drug is

Pancuronium

Muscle relaxant of choice is obstetrics is

D tubocurare

Atracurium metabolism?

Hauffman degradation

Fastest acting non depolarizing NMB is

Rapa curonium

Shortest acting nondepolarizing NMB is

Mivacurium

This electrolyte can potential action of neuromuscular blockers

Hypermagnisemia

In myasthenia gravis this type of NMB is resistent

Depolarizing

Suggamadex is reversal for

Aminosteroids only

In trainof four T4is ___ of T1then it is reversal

90%

Dr ewan magill first did

First oro tracheal intubation

Length of aiway tube in males is

22cm

Postion during laryngoscopy

Atlanto occipital joint extention


Neck flexion

Endo tracheal tube cuff pressure is

25to 30cm of h2o

Surest sign for good airway intubation is

Capnography

In children <6 years airway tube is

Uncuffed

Armoured tube is tube of choice in

Head and neck.sx


Neuro sx


Dental sx

RAE tube is tube.of choice in

Cleft lip


Tonsillectomy

In laryngeal.mask airway the tip rests on

Base of epiglottis

When ET tube is.difficult to secure airway then

LMA proseal.is used

Size of LMA in 60kg person

4

In.elective cervical spine injury nasal.intubation this is best

Fibre optic airway

Semi closed circuit of choice in controlled ventilation

Mapelson D

Co axial mapelson A

Lacks circuit

Co axial mapelson D

Bains circuit

More % of sodalime is by

Calcium hydroxide

Co2absorber where calcium chloride and calcium hydroxide are components

Amsorb

100gms of sodalime absorbs

28l of co2

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

Pin index of O2 cylinder is

2, 5

Pin index of co2>7%

1,6

Brown color cylinder is for

Heliox

He :o2 60:40then pin index is

4,6

Pin on.machine holes on cylinders this assembly is called?

Yolk assembly system

This system.prevents incorrect attachement of pipelines

Diss diameter index safety system


Comes under intermediate pressure system

Rotameter is in ___ pressure system

Low

Pressure in intermediate pressure system.is

55to 60psi

In high pressure system minimum starting pressure is

1000psi

Target intraoperative bi spectral index is

40to 60

More sensitive than bis is

Entropy

Bis measures

Depth of anesthesia

Phase III of capnograph represents

Only alveolar ventilation

Best monitor to daignose air embolism is

Trans esophagal echocardiography

Law of pulse oximetry is

Beer lamberts law

Jaundice and anemia on pulse oximetry

No effect

Uncontrolled DM comes under which grade of asa for anesthesia

Grade IV

Mallampati grading is

Assesment of size of tongue in resepct to oral.cavity

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

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

Stop ticlopidine before __days of sx

14days

Ocps are stopped before sx ?

No they are continued untill sx

Gap for medicated metal stents and elective sx

1year

Which function of nerve is lost first during anesthesia

Autonomic nervous system

LA which has vasoconstrictor property is

Cocaine


Emla has

Lignocaine: prilocaine


1:1

Doc in differential block

Ropivacaine

Best space for spinal anesthesia

L3L4space

Absence of knee jerk after epidural anesthesia is ___ sign

West paul sign

Mc post op complication of neuroaxial.blockade is

Retention of urine

Definitive mx of post dural puncture head ach is

Epidural blood patch

Mode of ventilation of choice in pediatrics is

Pressure controlled ventilation

In PEEP cardiac output

Decreases

This mode of ventilation requires heavy sedation and paralysis

Cmv controlled mode ventilation

Respiration in neonates is measured by

Impedence pulmonometry

Initial sedation fb propofol is

Switch technique

Shortest acting NMB is

Suxamethonium