Anesthesia Flashcards
triad of anesthesia consists of…
- unconsciousness
- analgesia
- muscle relaxation
benzo OD reversal?
flumazenil
major side effect of narcotics/opioids?
respiratory depression**
nausea, constipation, urinary retention
examples of intermediate acting (15-60 minute) nondepolarizing muscle relaxers
atracurium, vecuronium, mivacurium
examples of long acting (over 60 minute) nondepolarizing muscle relaxers
pancuronium, tubocurarine, metocurine
anesthesia reversal agents
-neostigmine
-sugammadex
Achase inhibitors
common depolarizing muscle relaxer that is quick acting
succinylcholine, can increase K levels so may need to give Ca
Miller vs
Mac blades
straight (two l’s in miller)
curved (c is curved)
MAC
TIVA
GETA
Monitored anesthesia care (conscious sedation)
total intravenous anesthesia
General endotracheal anesthesia
what to ask in an emergent HP?
Allergies Medications Past medical history Last meal Event preceding emergency
ASA classification levels
1-healthy 2-mild, controlled systemic disease 3-severe systemic disease 4-uncontrolled threatening disease 5-not expected to survive w/o rx 6-organ donor
Mallampati Classification
Used pre-op to evaluate what you can see when pt says ahhhhh
1-uvula, soft palate, pillars are visible
2-soft palate and base of uvula
3-only soft palate
4-only hard palate
Aldrete scoring system
commonly used scale for determining when patients can be safely discharged from the post-anesthesia care unit
9 or greater
components of aldrete score
respiration-able to take deep breath and cough 2
-dyspnea/shallow breathing 1
O2 sat->95 on room air 2
90-95% on room air 1
consciousness-fully awake 2
-arousable on call 1
circulation-BP+-20 of baseline 2
-BP+-50 of baseline 1
activity-able to move 4 extremities 2
-able to move 2 extremities
if a pt has a very high fever post op, think…
malignant hyperthermia
