basics exam 3 rvw for final Flashcards
Although this medication may be given to prevent anesthesia awareness, little scientific evidence exists that supports such treatment
Benzo’s
Preop patient is anxious, what dose of diazepam will you give them?
2-5mg of diazepam PO
Type One OR fire is located?
In or on the patient
What does a BIS monitor assess?
Monitors anesthetic depth
What is implicit memory?
Patient can follow commands but has no memory
What medication has alpha, minimal beta- used for phentolamine reversal?
Phenylephrine
Regional Anesthesia for Ophthalmic Surgery, what would you assume if someone is having seizures? (page 523, table 31.2)
That an intravascular injection has occurred.
Regional Anesthesia for Ophthalmic Surgery, what has occurred if you see contralateral mydriasis and contralateral eye block?
Brainstem Anesthesia
If all you see occuring during Regional anesthesia during ophthalmic surgery is loss of consciousness, apnea, and cardiac instability, what may be going on?
Most likely you have oversedated the patient, but brainstem anesthesia or intravascular injection is still possible, typically with the latter two you will see other more ominous signs but they have all the same signs as oversedation and then some more s/s.
Do you have seizures with brainstem anesthesia?
No, brainstem anesthesia does not have seizures that is only intravascular injection.
Most common cause of post op eye pain?
corneal abrasion
maint. fluid for 100lb grandma?
85cc/hr
LMA for 49kg male
size 3
what are some of the risks associated with strabismus surgery?
OCR
MH
PONV
Positional considerations for a patient having laminectomy with thoracic outlet?
prone with hands down by side
how is the laryngospasm reflex mediated?
vagal stimulation of the SLN.
OCR is afferent and efferent, tell me about it?
afferent is trigeminal nerve and efferent is vagal nerve.
Afferent is to the CNS, Efferent is from the CNS. (think A before E, has to go to the CNS before it can come from it)
Epiglottitis most likely is caused by which pathogen?
Acute haemophilus influenzae type B
What are some things you want to do for a patient who has epiglottitis before intubation actually occurs?
Do NOT attempt to directly visualize the glottis
Have surgeon called to assist with intubation
Do not administer anesthesia until equipment is opened and ready
02 levels should be at what percent to avoid OR fire?
LESS than 30%
High CO2, Increased inspiratory pressure, decreased O2 may indicate?
ETT dislodgement
Concentration of O2 that causes OR fire in less than 1 second?
95%
A patient that would benefit from prolonged post op monitoring? (this is bc they are susceptible to airway obstruction as late as 24 hours post op)
Patient less than four years old
How long should you wait to have a surgery on someone who had an MI, if the surgery is not an emergency?
6 months