MNEMO (anaesthesia implications)>METHERGINE "METH"

MNEMO (anaesthesia implications)>METHERGINE "METH"

1.M=MS,HTN/PIH,Heart diseases are C/I
2.Ensure it is given over 1 mins if iv. Ensure breast feeding is delayed for 12h after last dose.
3.Together don't give any other vasopressor
4.HTN & CVA are the dreaded complications

MNEMO> PENTAZOCINE "HOT DRUG"

MNEMO> PENTAZOCINE "HOT DRUG"

H.Hallucination and psychotomimetic effects
O.Overt seizures rarely, with iv route
T.Typical Opioid side effects
D.Dose: 0.5 mg/kg i.v. or 30 mg i.v. Q4H. 30 mg iv= 10 mg morphine
R. Respiratory depression, Raised Pulmonary pressures(Pulmonary HTN), Raised BP, Raised ICP, Rare diseae:Porphyria ....are CONTRAINDICATIONS
U. Upward CVP, LVEDP,PULMONARY PRESSURES
G.Give LESSER doses more FREQUENTLY to reduce side effects

MNEMO(anaesthesia implications)>FrieDreich's Ataxia: "FDA"

FrieDreich's Ataxia: FDA

F. Failure of Heart and Respiration
[Needs detailed evaluation of CVS]
D.Diabetes
A.Atracurium safe,Arrhythmias

ANAESTHESIA MNEMO> PEMPHIGUS VULGARIS

 "VULGARIS"
V.Venous access is difficult
U.Use of small ETT may be better than LMA
L.Larynx: Anticipate scarring and narrowing
G.Get exacerbations with pregnancy, surgeries
A.Anticipate problems with mask application on induction
   Anticipate fluid and electrolyte imbalances
R.Risks of long term steroid therapy :
  [explain to patient and take   preventive measures like PPIs against ulcer, steroid supplimentation etc]
I.Infections
  Intubation can cause airway trauma --> bleeding ,scarring etc can occur
S.Skin is vulnerable: Avoid skin traction and friction