HTHSCI 2F03 Lecture Notes - Lecture 9: Epidural Administration, Suxamethonium Chloride, Corneal Abrasion
26 Dec 2020
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Pain autonomic activation arteriolar constriction . Pain mobilisation vte and function. Pain respiratory excursion and cough atelectasis and pneumonia. Diclofenac: 50mg po / 75mg im: weak opioid + non-opioid adjuvants. Tramadol: strong opioid + non-opioid adjuvants. Usually volatile agent added to n2o/o2 mix. Reverse paralysis: neostigmine + atropine (prevent muscarinic side effects) Anti-emetics: e. g. ondansetron 4mg / metoclop 10mg. May be used for minor procedures or if unsuitable for ga. Rare complication ppted by halothane or suxamethonium. Rapid rise in temperature + masseter spasm. Commonly employed in colorectal and orthopaedic surgery. Minimise adverse physiological / immunological responses to surgery. Cortisol and insulin (absolute or relative) Speeded of recovery and return to function. Recognise abnormal recovery and allow early intervention. Admission on day of surgery, avoidance of prolonged fast. Carb loading prior to surgery: e. g. carb drinks. Fully informed pt. , encouraged to participate in recovery. Early resumption of oral intake (inc. carb drinks)
