Page 1 of 4: Library: Anaesthesia : list of important questions.

drsmita_s · Credits: 18609 My Scrapbook

as per the latest trend, we r coming across more and more complicated questions in Anaesthesia in exams these days. but still some questions r repeats snf these lists will help us solve such questions.

CLINICAL SITUATIONS AND AGENTS OF CHOICE

Preferred anaesthetic in ASTHMATICS :

1 KETAMINE
2 HALOTHANE

Preferred anaesthetic in RENAL FAILURE:
isoflurane
sevoflurane
desflurane
halothane

Preferred anaesthetic in CHRONIC ALCOHOLISM /HEPATIC FAILURE
MIDAZOLAM------>for sedation
+go for regional analgesia
+isoflurane/ sevoflurane are suitable anesthetics.

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CLINICAL SITUATIONS AND AGENTS OF CHOICE

Anaesthesia in children:
sevoflurane is the agent of choice for induction

most commonly used method is oxygen with or without nitrous oxide and either sevoflurane / halothane

agents not used in children:

enflurane / isoflurane---->pungent and not recommended
morphine not to be used in infants and children till the age of 10 years.

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DRUGS WHICH SENSITIZE HEART TO ARRYHTHMOGENIC ACTION OF ADRENALINE

HALOTHANE
methoxyflurane
trichloroethylene(trilene)
cyclopropane
chloroform

pneumonic is HMT CLOCK ?

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INHALATIONAL AGENTS

inhalational agent of choice in asthamatics --- Halothane
most potent inhalational agent ---methoxyflurane (MAC=0.16)
2nd most potent inhalational agent ---trilene (MMMMAC=0.2)
least potent inhalational agent --- nitrous oxide (MAC=106)
most potent analgesic ---- trilene
hepatotoxic agent is ----Halothane
maximum arryhthmogenic is --- Halothane
most nephrotoxic agent is ----Methoxyflurane(highest fluoride content)
inahalational agents C/I in renal failure --- methoxyflurane and enflurane.

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MUSCLE RELAXANTS

Shortest acting NDMR--- mivacurium
longest acting NDMR--- pipecuronium
most potent NDMR--- doxacurium
least potent NDMR---- gallamine
shortest acting depolarising MR--- succinylcholine
overall shortest acting MR ---- succinylcholine

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MUSCLE RELAXANTS

MR with higtest propensity for vagal blockade --- Gallamine
NDMR with highest propensity for histamine release and max. ganglion blockade --- d - Tubocrare
NDMR with min histamine release ( max. cardiac stable ) --- vecuronium

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MUSCLE RELAXANTS

MR excreted exclusively by kidneys--- gallamine
MR C/Iin renal failure --- gallamine
MR C/I in pregnancy --- galllamine
MR c/I in hepatic failure --- d-tubocurare , pancuronium , succinylcholine
MR avoided in asthma --- metacurine and succinylcholine(

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MUSCLE RELAXANTS

MR that undergoes hoffman's elimination --- Atracurium
MR of choice in renal and hepatic failure ---Atracurium
MR of choice in asthme --- Atracurium and vecuronium.

drshoaibsmc · Credits: 3066 My Scrapbook

Nice bit of info

thank u drsmita_s

drsmita_s · Credits: 18609 My Scrapbook

LOCAL ANAESTHETICS

only natural LA --- cocaine
only vasoconstrictor LA --- cocaine
LA which causes sympathetic stimulation --- cocaine
shortest acting LA--- chlorprocaine > procaine
longest acting LA --- dibucaine > tetracaine > bupivacaine
most potent and toxic LA --- dibucaine
LAwhich causes methaemoglobinaemia --- Prilocaine.
safest LA --- Prilocaine
best LA for regional block --- bupivacaine.[/u]

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