Medical Viva

Cystic Fibrosis for Laparoscopic Cholecystectomy

Reading Time

2:00

Clinical Stem

2021.1
A 30-year-old man with cystic fibrosis presents to the anaesthetic pre-assessment clinic for assessment prior to an elective laparoscopic cholecystectomy. Medications: - Cholecalciferol 1.25 mg, monthly - Vitabdeck 2 tabs, daily - Nebulised tobramycin 300 mg, bd - Nebulised pulmozyme 2.5 mg, mane - Nebulised hypertonic saline 5 mL, daily - Azithromycin 500 mg, x3/week - Creon Forte 15/day, daily - Ensure Plus 1 bottle tds - Alendronate 70 mg, weekly - Omeprazole 20 mg, daily - Seretide 125/25 2 puffs, bd - Novorapid insulin 2-3 units - Salbutamol 2-6 puffs, PRN - Ferrous fumarate 200 mg, daily - Calogen 30 mL bd

Sections covered in this viva

Assessment of respiratory disease severity and stabilityMultisystem assessment in cystic fibrosisPerioperative optimisation and anaesthetic planning

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