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Anatomy > Asa Standards > Flashcards

Asa Standards Flashcards

1
Q

Standard monitors

A

Pulse ox, capnography, o2 analyzer, disconnect alarm, ecg sbp hr temp

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2
Q

Lead 1/2/3

A

Lead 1 - on R + on l arms
Lead 2 - on Ra +on LL
Lead 3 - on la + on LL

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3
Q

Dinamap -device for noninvasive automatic mean art press compared to art line

A

Systolic and mean usually same, diastolic is 10 mmhg higher with automated

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4
Q

Map equation

A 
Map = co x svr
Map = pressure dias + 1/3(p sys - p dias)
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5
Q

Kroktof sounds

A

Phase 1 = systolic bp

Phase 5 = diastolic

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6
Q

Ischemia with art line

A

Less then .1%

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7
Q

Arterial blood flow hand

A

Majority is ulnar

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8
Q

Brachial artery cannulization

A

Can injure median nerve

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9
Q

Subclavian vein cannulization

A

Cannulated between middle third and latereal third clavicle
At the scalenea the subclavian vein goes anterior to ant scalene while artery goes between ant and mid
Both go over first rib
Advantages include shorter distance and more comfort and less infection

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10
Q

Chylothorax

A

Most common with left subclavian

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11
Q

Median nerve to brachial artery in ac

A

Median nerve is medial

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12
Q

Facet joint intervention for block

A

Medial branch of posterior division of spinal nerve

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13
Q

Stellate ganglion

A

Found c6/c7
Sympathetic innervation for hand neck arm head
Blocking causes unopposed parasympathetic and horners syndrome
Includes vasodilation of arm head neck, stuffiness, miosis, ptosos and anhydrosis. No sweat

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14
Q

Celiac plexus

A

Located l1
Lateral to aorta near celiac artery takeoff
Mediates innervation to small intestine, ascending and transverse colon, liver kidney spleen gallbladder
Blocking it blocks visceral pain, leads to inc parasympathetic including diarrhea

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15
Q

Changes in blood pressure as you move farther away from heart

A

Increase in systolic, decrease in diastolic, same map

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16
Q

Change in bp every 1 cm

A

.74 mmhg

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17
Q

A wave

A

after atrial contraction

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18
Q

C wave

A

Represents bulging of tricuspid valve into atrium during systole (after qrs)

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19
Q

X decent

A

Atrial relaxation as ventricle is contracted

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20
Q

V wave

A

Filling of the atria with tricuspid closed

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21
Q

Y decent

A

Tricuspid opens and blood passively flows into ventricle

22
Q

Afib on cvp

A

No a wave and increaeed c wave for increased filling pressures

23
Q

Av disassociation for cvp

A

Cannon a wave, atrial contraction against closed tricuspid valve

24
Q

Cardiac tamponade cvp

A

Elevated filling pressures with no y decent

25
Q

Normal mvO2

A

40 mmhg correspondes to 75% sat

26
Q

Pulm art cathter enters pulm artery at

A

35-45 cm

27
Q

Normal svr pulm art cathter

A

900-1500 dynes

28
Q

Normal pulm vasc resistance

A

50-150 dynes

29
Q

Normal cardiac index

A

2.2 to 4.2

30
Q

Wave lengths of pulse ox

A

660 oxygenated 940 deoxy

31
Q

Meth hgb / methelyne blue sat

A

85 for methhemoglobenemia, 65% for methelene blue

32
Q

Heat loss in first hour

A

Redistribution from core to periphery

33
Q

Best core temps

A

Typanic > bladder > axillary /skin

34
Q

Men 1

A

Pancreas pituitary parathyroid

35
Q

Primary hypothyroidism tsh t3 t4

A

Increae in tsh, low t3/t4. Primary means at the sight of organ. Secondary means the signaling from head

36
Q

Phenoxybenzamone

A

Irreversible nonselective alpha adrenergic antagonist

37
Q

Treatment of thyroid storm

A

Hydration bblocker (esp propanolol blocks conversion of t4-t3) and ptu

38
Q

Refeeding syndrome hallmark

A

Hypophosphatemia can also have hypokalemia

39
Q

Carcinoid tumor

A

Releases seretonin and kalkiormkn
Causes diarrhea and fushing and palpitation
Causes rhf from tricuspid and pulm vslve sclerosis

40
Q

Normal cortisol in a day

A

20-30 mg normal

300 at times of stress

41
Q

Maximal blood loss formula

A

MBL= hgb - allowed hgb / (avg of two hgb) x ebv

(Initial - final (allowed) / avg ) * ebv

42
Q

Sirs criteria

A 
Need 2:
Temp 38
Hr > 90
Rr > 20
Paco2 12k

Sepsis is with confirmed or suspected infxn
Septic shock is hypotension

43
Q 
Cvc normal
Cvp
Possitive pressure airway
Pcwp
Co
A 
Cvp normal 2-6, decreased is hypovolemia
Pa pressure 25/10
Pawp normal 8-12 reflects lvedp
Ci normal 2.4-4.2
Co normal 4-8L/min
44
Q

Dopamine receptor

A

Alpha 1 beta 1 da1

45
Q

Definition of acute renal failure

A

Urine output

46
Q

Autonomy

A

Right of the individual to self determination

47
Q

Benificence

A

The principle of taking the action that best serves the patient

48
Q

Peak vs pleatue pressure

A

Peak large airways. Pleatu is small airways and alveoli

Large increase in pip with no chance in pleatue means bronchospasm or biting of tubes

49
Q

Ards cc/ pip

A

6cc/kg

Pleatue

50
Q

Mcc lawsuit

A

Respiratory intubation amywhere

51
Q

Npo

A

Clear liquids 2
Breast milk 4
All others six

Anatomy (9 decks)

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