40 simple but important tips
@informationheartsurgery2017
1. Atropine with a high dose of 0.6 is used to resolve bradycardia
2. Hypotension is the main spinal complication
3. Blood pressure control and anesthesia control (that does not spread to higher areas) are important spinal treatments.
4. For spinal, if the patient has been NPO, he should receive at least CC500 ringer
5. Using eye ointment or glue to prevent the cornea from drying out
6. Propofol is used as a short-acting hypnotic
7. Diazepam is the easiest drug for pretreatment
8. Ondansetron and Plazil as an anti-emetic which is injected half an hour before the end of the procedure
9. Necessary medicines in medicine box:
“<- Drugs: Fentanyl and. Anesthetic: Nesdonal. Propofol and «<- Relaxant: Etra.Sax.Paulen 10. Spirason is the most important risk in recovery 11. Muscle laxity caused by Sachs, if it does not resolve after a certain time, we must inject the person with blood containing pseudocholinesterase. 12. Sax causes hyperkalemia, which is why it is contraindicated in bruises, burns, and fractures that increase potassium due to tissue damage. 13. Deviation of the patient's eye increases the possibility of hyperthermia, and because Sax also causes hyperthermia, its use is limited in these patients. 14. Ephedrine is used as a sympathetic stimulant to deal with spinal pressure drop 15. Fever causes the effect of Etra to turn off sooner, so we repeat the dose sooner 16. Up to 30% changes in blood pressure compared to the initial pressure do not cause any problem for the patient 17. In case of non-intravenous injection of Nasedonal, lidocaine should be administered intravenously 18. Muscle block created by relaxants is neutralized by neostigmine 19. Ezopine is used to eliminate the muscarinic effects of neostigmine (bradycardia and increased secretions). 20. Relaxers do not pass through the placenta 21. Miller tube is used instead of curved tube or Macintosh tube in babies 22. An increase in O2 in the body leads to a decrease in CO2, which causes vasoconstriction 23. The valve of the device in IPPV mode should be fully open so that if the device is in manual mode, there will be no problem for the patient. 24. Anesthesia machine work: helping to ventilate the patient and giving anesthetic gases to continue the anesthesia 25. During ventilation with the device, the volume of dead air increases, so we give more volume to the patient than the normal current volume. 26. Prohibition of pethidine in liver patients During induction, the patient should not have NGtube because it increases the possibility of regurgitation 27. Stimulation of the vagus nerve causes bradycardia, which is treated with atropine 28. Ketamine relaxes the uterus 29. Anesthesia in patients who are not NPO is mostly done through ketamine 30. The drug reduces venous return in patients who have a decrease in the volume of vascular fluids 31. Narcotic increases regurgitation weight in eye surgery 32. To sedate children, ketamine is used IM or IV 33. Suctioning secretions should not last more than 15 seconds because it causes patient irritation and spasms. 34. Elective procedures should not be performed in children who have a history of cold up to 4 weeks ago. 35. Aminophylline is used to relieve bronchospasm 36. Normal saline is used to dilute the blood 37. Treatment of spasm: positive pressure, suctioning, use of IV, injecting Sax 38. Halothane causes post-operative shivering as a result of increased metabolism and increased oxygen consumption and hypoxia. 39. Lasix is used for rapid treatment of high blood pressure (hypertension). 40. Nesdonal passes through the placenta and causes fetal respiratory depression @informationheartsurgery2017 This post is written by Majidrezaei610