Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
121 Cards in this Set
- Front
- Back
- 3rd side (hint)
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 |
|