Anesthesia Flashcards

1
Q

Sugammadex

A

first medication approved for reversal of neuromuscular blockade from Rocuronium or Vecuronium

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2
Q

At what level of sedation can you use neostigmine to reverse neuromuscular blocking agent?

A

need to have at least 2 out of a train of 4

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3
Q

is the miller blade curved or straight

A

straight

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4
Q

is the mactintosh blade curved or straight

A

curved

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5
Q

how does the miller blade work

A

lifts the epiglottis directly to provide the glottis view

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6
Q

how does the macintosh blade work

A

retracts the hypo-epiglottic ligament to indirectly lift the epiglottis

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7
Q

What is an oropharyngeal airway

A

an airway adjunct used to maintain or open the airway by stopping the tongue from covering the epiglottis

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8
Q

what can a severe drop in end-tidal CO2 mean?

A
  • tracheal extubation
  • disconnection of the breathing circuit
  • cessation of cardiac output (embolus possibly)
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9
Q

what kind of blade would you use to intubate in the pediatric population?

A

Miller blade

  • larynx is higher and more an anterior in kids
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10
Q

how do you establish an airway in a child < 12 years old if oral intubation fails?

A

needle cricothyrotomy to avoid damage to the vocal cords

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11
Q

what is considered a light meal for anesthesia

A
  • liquids
  • carbs
  • protein
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12
Q

how long do you have to wait before initiating anesthesia for a light meal

A

6 hours

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13
Q

what is considered a heavy meal for anesthesia

A

anything containing fat

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14
Q

how long do you wait for a heavy meal before anesthesia

A

8 hours

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15
Q

What can arise during anesthesia if benzocaine spray is used during intubation

A
  • methemoglobinemia, where you get decrease in O2 saturation
  • treatment is methylene blue administration
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