apa1 quiz1 Flashcards

1
Q

ASA Class I

A

No organic, physiologic, biochemical, or psychiatric disturbances (healthy patient)

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2
Q

ASA Class II

A

Mild to moderate systemic disturbance. (Heart disease that SLIGHTLY LIMITS physical activity, essential HTN, diabetes, chronic bronchitis, anemia, obesity, age etremes)

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3
Q

ASA Class III

A

Severe systemic disease that limits acitivity. (Limits activity, poorly controlled essential HTN, diabetes mellitus WITH VASCULAR COMPLICATIONS, angina pectoris, history of previous MI)

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4
Q

ASA Class IV

A

Severe systemic disease THAT IS CONSTANTLY LIFE THREATENING. (CHF, pers angina pectoris, advance pulm, renal, or hepatic dysfunction)

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5
Q

ASA Class V

A

Moribound pt, undergoing surgery as a RESUSCITATIVE EFFORT, despite a minimal chance for survival. (uncontrolled hem from ruptured abdominal artery aneurysm, PE, head injury w increased ICP)

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6
Q

ASA Class VI

A

Declared brain dead pt whose organs are being removed for donor purposes

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7
Q

ASA Class E

A

Emergency surgery is required (otherwise healthy 30 yo female who needs Dand C for mod persistent hemorrhage

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8
Q

oxygen tank psi, capacity, color

A

1900-2200psi,
660L,
green

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9
Q

nitrous tank psi, capacity, color

A

745psi,
1600L,
blue

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10
Q

air tank psi, capacity, color

A

1800 psi,
600L,
yellow

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11
Q

free floating valve

A

opens with pressure and closes with pressure(check valve)

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12
Q

free floating valves found

A

hanger yokes, internal to vaporizer

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13
Q

ball and spring valve found

A

pipeline supply, fail-safe valve, oxygen flush,

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14
Q

diaphragm valves found

A

first stage regulator and second stage regulator

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15
Q

laryngeal cartilages paired

A

corniculate, cuneiform, arytenoid

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16
Q

laryngeal cartilages unpaired

A

epiglottis, thyroid, cricoid

17
Q

who found the first anesthesia school and when

A

Agatha Hodgins 1915

18
Q

where was the first organized educational program

A

Lakeside Hospital, School of Anesthesia Cleveland, Ohio (length=6months, cost=50$, first grads 11 nurses, 6 physicians, 2 dentists)

19
Q

Thyro-mental distance

A

measure from upper edge of thyroid cartilage to chin with the head fully extended.
short = an anterior larynx
>7cm is usally=easy intubation
<6cm=difficult airway

20
Q

first step of difficult airway algorithm

A

assess the likelihood and clinical impact of basic managment problems:
A. Difficult ventilation
B. Difficult Intubation
C. Difficult with Pt Cooperation or Consent
D. Difficult Tracheostomy

21
Q

Second step of Difficult airway algorithm

A
  1. Actively pursue opportunities to deliver supplemental oxygen throughout the process of difficult airway management
22
Q

Difficult airway algorithm 3. A

A

awake intubation vs intubation attempts after induction of general anesthesia

23
Q

Difficult airway algorithm 3. B

A

Non-invasive technique for initial approach of intubation vs. invasive technique for initial approach to intubation

24
Q

Difficult airway algorithm 3. C

A

preservation of spontaneous ventilation vs ablation of spontaneous ventilation.