Anesthesia Concepts

Question 1

50. What are examples of medications used in general anesthesia? List the family name and examples of medication’s in this class.

Answer 1

Inhalation:

• “ane” family, halothane, enflurane, isoflurane
• NITROUS OXIDE (“LAUGHING GAS”)

Question 2

51. What is the route of administration for GENERAL anesthetics?

Answer 2

Inhalation

Question 3

52. When a client undergoes general anesthesia, the provider may use a sedative to relax the patient and a neuromuscular blocking agent to allow for intubation of the patient before finally administering the general anesthesia. What are some examples of neuromuscular blocking agents?

Answer 3

• DEPOLARIZING: SUCCINYLCHOLINE
• NON-DEPOLARIZING: ROCURONIUM, VECURONIUM, PANCURONIUM, TUBOCURARINE AND OTHERS

Question 4

53. What is the potential adverse drug reaction a client might experience when receiving both a general anesthetic AND a neuromuscular blocking agent?

Answer 4

POSSIBLE MALIGNANT HYPERTHERMIA
Signs & symptoms: rapid rise in body temperature, tachycardia, tachypnea, muscle rigidity
- This is genetically linked

Question 5

54. What is the drug of choice for treating that adverse drug reaction?

Answer 5

DANTROLENE

Question 6

55. What is conscious sedation? What is the main goal of using this type of sedation for a client?

Answer 6

• “TWILIGHT SLEEP”
• MINIMAL DEPRESSES THE LEVEL OF CONSCIOUSNESS AND PATIENT MAINTAINS THEIR OWN AIRWAY INDEPENDENTLY.
• PRIMARY GOAL: REDUCE ANXIETY AND DISCOMFORT WHILE FACILITATING COOPERATION.

Question 7

56. What types of procedures would be most appropriate for using conscious sedation?

Answer 7

• USEFUL FOR DIAGNOSTICS AND MINOR SURGICAL PROCEDURES. (THINK ENDOSCOPY OR BRONCHOSCOPY TYPE PROCEDURES)