Anaesthesia by Garrioch, Magnus

By Garrioch, Magnus

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Iv. With altitude, no; with temperature, yes. For oxygen, Charles’ Law is applicable: P1/T1 = P2/T2 for a constant volume For N2O, SVP increases with increases in temperature in a non-linear fashion. v. 125%) of the contents of the N2O cylinder remains when the pressure starts to decrease (after the last liquid drop of N2O has vaporised). vi. The N2O cylinder will not burst when the temperature exceeds the critical temperature (when all liquid N2O turns gaseous) because a gas or vapour close to the critical temperature and pressure does not follow (‘obey’) the ideal gas law and is much more compressible (due to Van der Waal’s Forces on intermolecular attraction).

Beta-blockers). Patients are usually anxious. Urine output is reduced. This is a potentially serious blood loss and a fluid challenge of 1,000–2,000 ml of Hartmann’s solution should be given through two large bore (16 gauge) IV catheters. A surgical opinion is essential as further blood loss is likely and surgical or radiological/angiographic intervention may be required to stem bleeding. The patient must be observed for further evidence of haemorrhage, as he may only transiently respond to fluids.

What diseases are likely to cause such an appearance? ii. How would you differentiate them? iii. Does this radiographic appearance affect the conduct of GA? QUESTION 37 37 This patient (37) is taking warfarin. 37 i. She has no history of heart disease, so what is the warfarin most likely being prescribed for? ii. Why is this lady particularly in need of warfarin, and what other risk factors should be considered? iii. g. an axillary abscess). indd 49 15/10/14 11:37 AM Answer 36 36i. There are diffuse and uniformly distributed calcific densities throughout the lung fields and these are characteristic of an adult patient who has recovered from Varicella pneumonia (chicken pox).

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