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2362 Anaesthesia

A 53-year-old woman has been intubated for several days after sustaining a right pulmonary contusion after a motor vehicle collision as well as multiple rib fractures. Which of the following is a reasonable indication to attempt extubation?

ANegative inspiratory force (NIF) of -15 cm H2O
BPO2 of 60 mm Hg while breathing 30% inspired FiO2 with a positive end-expiratory pressure (PEEP) of 10 cm H2O
CSpontaneous respiratory rate of 35 breaths per minute
DA rapid shallow breathing index of 80
Anaesthesia
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2367 Anaesthesia

A 30 year old female who is known case of lupus is posted for myomectomy. She has been taking 20 mg prednisolone since she was 19. what is your advice regarding perioperative steroid replacement

AStop steroids the night before this procedure
BGive 20 mg prednisolone on the morning of the procedure
CReplace with 100 mg hydrocortisone on the morning of the procedure
DDo adrenal function test prior to procedure to decide on tapering the dose.
Anaesthesia
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