aa anesthesia mnemonics – Flashcards

• Fluids (hemorrhage, hypovolemia) • Anaphylaxis • Anesthesia • Adrenal insufficiency • Acidosis • Rate/Rhythm problems • Inotrope failure: MI, depression, tamponade, CHF, CM, valve • O2 lack (hypoxia) • Surgical compression of heart, aorta, IVC • Sepsis • Temperature loss (hypothermia) • Transfusion reaction • Tension pneumothorax • Embolus (pulmonary, air, fat) • Drugs

• Hypoxia • Hypovolemia • Hypotension • Hyperthermia • Pain • Pheo • PE • Fever • Anemia • Sepsis • Thyroid

1. hyperthermia 2. hypovolemia (hemorrhage) 3. pheo 4. PE 5. pain 6. carcinoid 7. hypoxia 8. anemia 9. sepsis 10. thyroid 11. MH 12. drug effect 13. sepsis 14. full bladder

Bleeding/DIC Embolism: coronary/pulmonary/amniotic fluid embolism Anesthetic complications Uterine atony Cardiac disease (MI/ischemia/aorticdissection/cardiomyopathy) Hypertension/preeclampsia/eclampsia Other:differential diagnosis of standard ACLS guidelines Placentaabruptio/previa Sepsis

1. Duchene/Beckers MD 2. increased IOP/glaucoma 3. Burn 4. spinal cord injury 5.hyperkalemia 6. MH 7. hypersensitivity/allergy 8. plasma cholinesterase deficiency 9. closed head injury 10. acidosis 11. children <6 12. guillane barre 13. massive trauma 14. myasthenia gravis 15. organophosphate toxicity 16. rhabdomyolysis 17. unstable fracture 18. bradycardia 19. renal failure 20. upper motor neuron disease

S: Stop all triggers, give 100% O2 H: Hyperventilate D: Dantrolene 2.5mg/kg B: Bicarbonate G: Glucose and Insulin I: IV Fluids, Ice/Cooling F: Fluid Output; Frusemide F: Tachycardia: be prepared to treat VT

H: hyperailamentation A: acetolamide, CA inhibitors R: RTA D: diarrhea U: ureteroduodenal fistula P: pancreatoduodenal fistula S: Saline administration (esp with renal failure)

C BIG K Drop Calcium, Bicarb, Insulin, Glucose, Kayexalate, Dialysis (albuterol)

< Difficulty with patient cooperation or consent < Difficult mask ventilation < Difficult supraglottic airway placement < Difficult laryngoscopy < Difficult intubation < Difficult surgical airway access actively pursue opportunities to deliver supplemental oxygen throughout

1. Awake intubation vs intubation after induction of GA 2. Non-invasive technique vs invasive techniques as initial approach 3. Video-assisted laryngoscopy as initial approach 4. Preservation vs. ablation of spontaneous ventilation

Heparin Insulin Glycopyrrolate Nondepolarizing Sux

F: FSH L: LH A: ACTH T: TSH P: PROLACTIN E: ENDORPHINS G: GH O: OXYTOCIN V: VASOPRESSIN

Pregnancy Ascites Neonate GETA Obesity Supine

1. A cidosis or Alkalosis? 2. R espiratory disorder? - acidosis or alkalosis - check PaCO2 3. M etabolic disorder? - acidosis or alkalosis - check HCO3 4. A nion Gap? 5. D elta AG? 6. A ssess compensation

Expected pCO2 = 1.5 * HCO3- + 8 +/- 2 Another useful tool in estimating the PCO2 in metabolic acidosis is the recognition that the pCO2 is always approximately equal to the last 2 digits of the pH. Winter's formula is a formula used to evaluate respiratory compensation when analyzing acid-base disorders and a metabolic acidosis is present. ([H+] = 24 ×(PCO2 / [HCO3-])

hiSTAMine: Sux Tubocurarine Atracurium Mivacurium

Opiates (morphine, fentanyl if > 1 ucg/kg) Benzodiazepines Ephedrine (increased metabolism) Local anesthetics Atropine B-blockers