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NU 700 Pharm for Anes. > Comprehensive Exam > Flashcards

Comprehensive Exam Flashcards

1
Q

pediatric decadron dosing

A

150mcg/kg max: 5mg

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2
Q

pediatric zofran dosing

A

50-100mcg/kg max: 4mg

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3
Q

which ventilatory mode do all anesthesia machines offer

A

VC

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4
Q

first black AANA president and where did she practice

A

Goldie Brandman- Harlem hospital

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5
Q

osmotic force of colloidal proteins within the vascular space

A

plasma oncotic pressure

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6
Q

PONV med to avoid in Parkinson’s

A

droperidol, haldol, reglan

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7
Q

IV dose of droperidol for PONV

A

0.625-1.25mg

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8
Q

timing of scopolamine patch

A

2-4 hours before surgery

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9
Q

blood reaction with post-transfusion respiratory distress, HT, JVD, tachycardia

A

TACO

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10
Q

3 herbals that increase risk of bleeding

A

gingko, ginseng, garlic

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11
Q

compares the amplitude of 4th twitch to the 1st twitch for nondepolarizing NMBs

A

TOF ratio

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12
Q

% of lead body mass that is represented by TBWater

A

60%

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13
Q

Only naturally occurring colloid available for infusion

A

albumin

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14
Q

speed at which Hoffman elimination acts to degrade atracurium depends on what 2 factors

A

pH and temp

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15
Q

precedex loading dose and gtt rate

A

1mcg/kg over 10min
0.2-0.7 mcg/kg/hr

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16
Q

NS infusion can cause what imbalance

A

hyperchloremic metabolic acidosis

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17
Q

6 factors that increase risk for PONV in adults

A

female
non-smoker
age<50
hx PONV/motion sickness
use of post op opioids
length of procedure

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18
Q

what is in cryo

A

fac 1, 6, 13, vWF

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19
Q

2 barriers that influence CRNAs ability to function at full scope of practice

A

state boards of nursing bylaws
hospital regulation/bylaws

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20
Q

4 elements necessary for malpractice

A

duty
breach of duty
causation
damages

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21
Q

crystalloid contraindicated for use with citrated products

A

LR

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22
Q

2 EKG abnormalities with hypokalemia

A

U-wave
flattened T-wave

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23
Q

2 main ECV electrolytes

A

Na/Cl

24
Q

2 main ICV

A

K/Phos

25
Q

induction dose for etomidate

A

0.2-0.4mg/kg

26
Q

who founded the NANA

A

Agatha Hodgkins

27
Q

CN involved in the vomiting center

A

5, 7, 9, 10, 12

28
Q

PIN for O2

A

2,5

29
Q

most common electrolyte imbalance encountered in clinical anesthesia practice

A

hypokalemia

30
Q

pH of NS

A

5.6

31
Q

propofol induction dose

A

1-2.5 mg/kg

32
Q

mother of anesthesia

A

Alice Magaw

33
Q

preferred site to monitor for recovery from a nondepolarizing NMB

A

ulnar/adductor pollicis

34
Q

Which war ultimately led to the accreditation of nurse anesthesia educational programs?

A

Korean war

35
Q

An anesthesiologist and nurse anesthetist are working collaboratively (care-team model). The anesthesiologist performs a pre-operative assessment, is present for induction of anesthesia, but never returns to the operating room during the four-hour procedure. What should the nurse anesthetist do?

A

Ask to have the case billed as supervision instead of direction

36
Q

2 examples of cases that could fall under criminal law

A

practicing without a licence
diverting controlled substances from place of employment

37
Q

A patient with a pre-existing do-not-resuscitate (DNR) order presents for surgery. Do you automatically suspend the DNR order

A

NO

38
Q

T/F the AANA changed the name of the organization to the American Association of Nurse Anesthesiologists

A

False

39
Q

According to a study published in 2011, which population in the nurse anesthesia field reported having the greatest amount of stress?

A

SRNAs

40
Q

beta agonists, anticholinergics, and steroids are indicated in the treatment of what postoperative complication

A

bronchospasm

41
Q

what blood glucose level is associated with coma and thus may delay awakening from anesthesia

A

600

42
Q

Intraoperative awareness occurs in approx how many GA cases per 1000

A

1-2

43
Q

Remembering a surgical event is an example of what type of recall (memory)?

A

conscious
explicit

44
Q

preoxygenation replaces which gas in the patient’s FRC with O2

A

nitrogen

45
Q

which inhalational agent cannot be used as sole drug for maintaining GA?

A

nitrous oxide

46
Q

what is the strongest independent patient risk factory for PONV?

A

female

47
Q

Where in the brain is the vomiting center located?

A

medulla oblongata

48
Q

What two medications are recommended in most pediatric patients at high risk for POV?

A

decadron
zofran

49
Q

The extrinsic pathway involves which factors

A

3, 7

50
Q

What is a normal value for PT in seconds

A

12

51
Q

What fibrinogen value would warrant admin of cryo

A

100

52
Q

The ACT is performed by mixing whole blood with an activating substance that acts through what pathway of the clotting cascade?

A

intrinsic

53
Q

Identify the drugs that are classified as thienopyridines

A

plavix, prasugrel

54
Q

What are the two most commonly reported SE of zofran

A

diarrhea
headache

55
Q

2 ineffective strategies for PONV prophylaxis

A

nicotine patch to nonsmokers
intraop gastric decompression

NU 700 Pharm for Anes. (6 decks)

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