Comprehensive Exam Flashcards
pediatric decadron dosing
150mcg/kg max: 5mg
pediatric zofran dosing
50-100mcg/kg max: 4mg
which ventilatory mode do all anesthesia machines offer
VC
first black AANA president and where did she practice
Goldie Brandman- Harlem hospital
osmotic force of colloidal proteins within the vascular space
plasma oncotic pressure
PONV med to avoid in Parkinson’s
droperidol, haldol, reglan
IV dose of droperidol for PONV
0.625-1.25mg
timing of scopolamine patch
2-4 hours before surgery
blood reaction with post-transfusion respiratory distress, HT, JVD, tachycardia
TACO
3 herbals that increase risk of bleeding
gingko, ginseng, garlic
compares the amplitude of 4th twitch to the 1st twitch for nondepolarizing NMBs
TOF ratio
% of lead body mass that is represented by TBWater
60%
Only naturally occurring colloid available for infusion
albumin
speed at which Hoffman elimination acts to degrade atracurium depends on what 2 factors
pH and temp
precedex loading dose and gtt rate
1mcg/kg over 10min
0.2-0.7 mcg/kg/hr
NS infusion can cause what imbalance
hyperchloremic metabolic acidosis
6 factors that increase risk for PONV in adults
female
non-smoker
age<50
hx PONV/motion sickness
use of post op opioids
length of procedure
what is in cryo
fac 1, 6, 13, vWF
2 barriers that influence CRNAs ability to function at full scope of practice
state boards of nursing bylaws
hospital regulation/bylaws
4 elements necessary for malpractice
duty
breach of duty
causation
damages
crystalloid contraindicated for use with citrated products
LR
2 EKG abnormalities with hypokalemia
U-wave
flattened T-wave
2 main ECV electrolytes
Na/Cl
2 main ICV
K/Phos
induction dose for etomidate
0.2-0.4mg/kg
who founded the NANA
Agatha Hodgkins
CN involved in the vomiting center
5, 7, 9, 10, 12
PIN for O2
2,5
most common electrolyte imbalance encountered in clinical anesthesia practice
hypokalemia
pH of NS
5.6
propofol induction dose
1-2.5 mg/kg
mother of anesthesia
Alice Magaw
preferred site to monitor for recovery from a nondepolarizing NMB
ulnar/adductor pollicis
Which war ultimately led to the accreditation of nurse anesthesia educational programs?
Korean war
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?
Ask to have the case billed as supervision instead of direction
2 examples of cases that could fall under criminal law
practicing without a licence
diverting controlled substances from place of employment
A patient with a pre-existing do-not-resuscitate (DNR) order presents for surgery. Do you automatically suspend the DNR order
NO
T/F the AANA changed the name of the organization to the American Association of Nurse Anesthesiologists
False
According to a study published in 2011, which population in the nurse anesthesia field reported having the greatest amount of stress?
SRNAs
beta agonists, anticholinergics, and steroids are indicated in the treatment of what postoperative complication
bronchospasm
what blood glucose level is associated with coma and thus may delay awakening from anesthesia
600
Intraoperative awareness occurs in approx how many GA cases per 1000
1-2
Remembering a surgical event is an example of what type of recall (memory)?
conscious
explicit
preoxygenation replaces which gas in the patient’s FRC with O2
nitrogen
which inhalational agent cannot be used as sole drug for maintaining GA?
nitrous oxide
what is the strongest independent patient risk factory for PONV?
female
Where in the brain is the vomiting center located?
medulla oblongata
What two medications are recommended in most pediatric patients at high risk for POV?
decadron
zofran
The extrinsic pathway involves which factors
3, 7
What is a normal value for PT in seconds
12
What fibrinogen value would warrant admin of cryo
100
The ACT is performed by mixing whole blood with an activating substance that acts through what pathway of the clotting cascade?
intrinsic
Identify the drugs that are classified as thienopyridines
plavix, prasugrel
What are the two most commonly reported SE of zofran
diarrhea
headache
2 ineffective strategies for PONV prophylaxis
nicotine patch to nonsmokers
intraop gastric decompression
