Transcription of SMOKING AND ANAESTHESIA ANAESTHESIA …
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Sign up to receive ATOTW weekly - email ATOTW 221 SMOKING and ANAESTHESIA 02/05/2011 Page 1 of 4 SMOKING AND ANAESTHESIA ANAESTHESIA TUTORIAL OF THE WEEK 221 2ND MAY 2011 Dr Narmatha Thiagarajan ST6 in ANAESTHESIA Southampton General Hospital Correspondance to QUESTIONS 1. Concerning nicotine a) Is an adrenergic agonist. b) It increases the heart rate for 1-2 hours. c) It causes vasoconstriction and increases the blood pressure. d) Levels will decrease after 12-24 hours of abstinence. 2. Carbon monoxide in cigarette smoke a) Binds to haemoglobin and reduces its oxygen carrying capacity. b) Has a positive inotropic effect. c) An increased concentration of carboxyhaemoglobin will cause the pulse oximeter to underestimate the oxygen saturation. d) Shifts the oxygen haemoglobin curve to shift to the right. 3. In chronic smokers a) Pre-oxygenation is not routinely necessary. b) Coughing, breath holding and larnygospasm are common. c) Breathing exercises and physiotherapy are useful along with bronchodilators.
Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com ATOTW 221 Smoking and Anaesthesia 02/05/2011 Page 1 of 4 SMOKING AND ANAESTHESIA
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