Read e-book online Anaesthesia PDF

By Garrioch, Magnus

ISBN-10: 184076077X

ISBN-13: 9781840760774

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Example text

Iii. Septic shock is sepsis complicated by organ failure (see Table below) and hypotension that is unresponsive to a fluid challenge. Affected organ Signs of organ failure Brain Confusion Lungs Hyperventilation (respiratory rate >20). 5 ml/kg/hour. indd 22 15/10/14 11:37 AM QUESTION 19 19 Pressure gauges for oxygen (19a) and nitrous oxide (N2O) (19b) are shown. 19a 19b i. Is it possible for the oxygen and N2O cylinders to both be ‘full’ even though the pressures differ? ii. Why does a full N2O cylinder (with a lower pressure) contain more molecules of gas/vapour than a full oxygen cylinder (with a higher pressure)?

G. anticholinesterases, chlorpromazine, echothioptate eye drops); genetically atypical plasma cholinesterases unable to metabolise the drug. iv. Yes. The immediate risks of suxamethonium used in burned patients relate to a potentially difficult intubation. v. Suxamethonium administered to facilitate intubation after a major burn can induce dangerous hyperkalaemia, but this effect takes several days to develop. The drug can be used within 24–72 hours of the injury. Beyond 72 hours and particularly between 9 and 60 days post burn, cardiac arrest from hyperkalaemia is likely.

This ‘malar flush’ is thought to be associated with increased blood CO2 levels due to pulmonary hypertension. ii. Mitral stenosis is characterised by a loud opening snap with a mid-diastolic rumbling murmur loudest at the apex of the heart without radiation. g. peripheral oedema including ankle swelling and hepatomegaly). Significant hepatic engorgement will lead to liver dysfunction in extreme cases. iii. A sudden drop in cardiac output (in this case, the onset of AF) has caused her breathlessness.

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Anaesthesia by Garrioch, Magnus


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