Exam 1 Lecture 1

Question 1

H+P is good for

Answer 1

30 days

Question 2

Preoperative evaluation is good for

Answer 2

30 days

Question 3

3 components of anesthesia record

Answer 3

1. pre-anesthetic evaluation
2. intra-anesthetic record
3. postoperative

Question 4

pre-anesthetic evaluation ends with

Answer 4

attainment of informed consent

Question 5

intra anesthetic record consists of

Answer 5

-evidence of continuous observation of the patient
induction
maintenance
emergence

Question 6

Critical step in delivery of anesthesia care

Answer 6

planning

Question 7

issues in manual charting

Answer 7

smoothing
batch recording
soiled records
misplacement/loss

Question 8

Smoothing

Answer 8

smooth out the record, not all inclusive, goal = railroad tracks

Question 9

Batch recording

Answer 9

too busy, fill out all at once when you have time

Question 10

concerns re: computerized charting

Answer 10

liability, cost, confidentiality, more equipment

Question 11

Elements of informed consent

Answer 11

1. disclosure of information
2. comprehension
3. voluntary
4. capacity to consent

Question 12

purpose of informed consent

Answer 12

educate + protect the patient (+ provider)

Question 13

components of disclosure of information (informed consent)

Answer 13

• purpose/rationale of proposed anesthetic technique

- risks, benefit, alternatives

Question 14

unauthorized touching

Answer 14

common law battery

Question 15

provider fails to warn of risks or instruct of alternatives

Answer 15

negligence

Question 16

OB anesthesia: providers legal obligation is to ____

Answer 16

mother

Question 17

legal authority to consent

Answer 17

competence

Question 18

ability to decide

Answer 18

capacity

Question 19

Physical status classification

Answer 19

ASA classification system

Question 20

Physical status classification: Class 1

Answer 20

healthy w/ good exercise tolerance

Question 21

Physical status classification: Class 2

Answer 21

no functional limitations
well-controlled disease of 1 body system
(DM, HTN, mild obesity, pregnancy, smoker)

Question 22

Physical status classification: Class 3

Answer 22

Some fxnal limitation
controlled dx of 2+ body system
i.e. CHF, stable angina, old heart attack, poorly controlled HTN, morbid obesity, chronic renal failure, bronchospastic dx w/ intermt s/s

Question 23

Physical status classification: Class 4

Answer 23

Severe systemic disturbance
-poorly controlled/end stage
life threatening w/ or w/o surgery

Question 24

Physical status classification: Class 5

Answer 24

moribund patient: surgery = last resort

Question 25

Physical status classification: Class 6

Answer 25

organ donor

Question 26

Physical status classification: E

Answer 26

Emergent need for anesthesia