anesthesia

Question 1

regional anesthetic example

Answer 1

• nerve block
• plexus
• spinal cord

Question 2

what can you use to reduce anxiety pre-operatively

Answer 2

• benzodiazepine

-

Question 3

Induction of anesthesia agents

Answer 3

propofol
ketamine
barbiturates

Question 4

what can be used to maintain anesthetic

Answer 4

• inhalational NO, isoflurane,

IV propofol, opioids, muscle relaxant

Question 5

what is used for “amnesia” or reducing awareness

Answer 5

• Benzos

Question 6

what is used for “hypnosis” or sleep

Answer 6

• Propofol

Question 7

what is used for analgesia

Answer 7

NSAID
opioid
aceaminophen
or regional or local

Question 8

If not needed what should you avoid

Answer 8

muscle relaxants

Question 9

2 types of muscle relaxants

Answer 9

non-depolarizing

succinylcholine

Question 10

problems with succinylcholine

Answer 10

• wait for effects to wear off 10 minutes

Question 11

What can you use to blunt the sympathetic response

Answer 11

short-acting opioids - remifentanil

short-acting B blockers - esmolol

Question 12

effects of anesthetics on the CV system

Answer 12

• increase heart rate
• decrease contractility
• dilate veins/arteries - decrease BP

Question 13

effects of anesthetics on the respiratory system

Answer 13

• aspiration
• airway obstruction
• increased CO2, resp depression
• ## decreased response to hypoxemia

Question 14

malignant hyperthermia can be triggered by

Answer 14

Succinylcholine and

anesthetic vapors

Question 15

what can MH lead to

Answer 15

• hyperthermia
• hypercarbia
• tachycardia
• arrythmias
• muscle rigidity
• hyperkalemia
  acute renal failure

Question 16

How do you treat MH

Answer 16

• give dantrolene -

DONT give calcium channel blockers

Question 17

what do you need to stop 7 days prior to Sx to reduce surgical bleeding in a patient with CAD

Answer 17

• Plavix