Anesthesia Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

how long/why patient NPO prior to care?

A
  • 6-8 hour*

- PT may vomit and aspirate gastric contents

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2
Q

what is purpose of anesthesia consent?

A
  • PT permission

- explain risks/complications/alternatives

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3
Q

function of prep visit

A
  • allay PTs fear/anxiety
  • assess mental/physical condition
  • obtain informed consent
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4
Q

what factors can cause cancellation of procedure?

A
  • prolonged clotting time
  • cold/flu
  • infection inc. teeth and gums
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5
Q

why are ANTICHOLINERGICS used?

A
  • ATROPINE*
  • prevent pediatric bradycardia
  • control secretions
  • control cardiac reflex (bradycardia)
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6
Q

why should all surgical patients have an IV in OR?

A
  • emergency drugs administered if needed
  • prevent dehydration
  • maintain blood volume
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7
Q

which phase is cardiac/respiratory arrest most likely?

A

the induction phase

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8
Q

why are PT’s eyes taped shut?

A

prevent corneal injuries

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9
Q

surg techs role if PT experiences cardiac arrest?

A

-remain sterile/protect sterile field

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10
Q

what is dark blood an indication of?

A

PT is hypoxic (region of body deprived oxygen)

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11
Q

what is balanced anesthesia?

A

combination of IV drugs/inhalation agents to achieve appropriate level of anesthesia

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12
Q

cricoid pressure

A
  • Sellecks maneuver*
  • reduces risk of aspiration
  • pressure applied prior to intubation/position of ET tube verified
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13
Q

malignant hyperthermia

A
  • skeletal muscles contract and can’t relax
  • resulting rigidity=heat/lactic acid/carbon dioxide buildup
  • genetically transmitted
  • more common in males
  • treated with dantrolene
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14
Q

what are allergies treated with?

A

antihistamines

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15
Q

What can cause shock/what is administered?

A
  • significant blood loss

- Type-O (universal donor) given in emergencies

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16
Q

commonly used opiate/opioid analglesics

A
  • morphine sulfate

- meperidine (demerol)

17
Q

purpose of induced HYPOTHERMIA

A
  • reduction in body metabolism
  • reduction oxygen/glucose consumption
  • reduction in waste production
  • permits use of lower inhalation/IV doses
18
Q

purpose of induced HYPOTENSION

A
  • controlled decrease arterial pressure
  • decrease in bleeding
  • increase visibility in surgical field
19
Q

nerve conduction blocking agents:

AMINO AMIDE GROUP

A
  • metabolized liver, secreted kidneys*
  • lidocaine hydrochloride
  • mepivicaine hydrochloride
  • bupivicane hydrochloride
  • ropivicaine hydrochloride
20
Q

nerve conduction blocking agents:

AMINO ESTER GROUP

A
  • biotransformed in plasma*
  • cocaine hydrochloride
  • procaine hydrochloride
  • tetracaine hydrochloride
21
Q

local anesthesia

A
  • local infiltration*
  • nerve blocking agent injected area surrounding peripheral nerve that only serve tissue at site of surgery
  • prolonged by epinephrine*
22
Q

brachial plexus nerve block:

BIER BLOCK

A
  • double cuff tourniquet applied, remains for procedure
  • solution injected below tourniquet
  • anesthesia to distal portion of extremity below
  • tourniquet removed slowly
23
Q

spinal block

A
  • aka INTRATHECAL*
  • injection into subarachnoid space CSF
  • administered below L2
24
Q

epidural anesthesia

A

anesthetic injected into tissue above DURA MATER

25
Q

what color are oxygen supply lines and tanks?

A

green

26
Q

Endotracheal (ET) Tubes

A
  • placed through mouth/nose into trachea to provide airway

- made of PVC

27
Q

Endotracheal (ET) Tubes for laser procedures

A

made of rubber or silicone impregnated with metal

28
Q

during laryngoscopy, what is cuff of ET tube inflated with?

A

-methyne blue tinted saline to better indicate if cuff has been compromised

29
Q

when positioning and transferring and anesthetized patient..

A
  • minimum 4 people required to move*
  • ask anesthesiologist
  • move slowly and gently
  • pad protect pressure points