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Anesthesia Practice > Exam 1 Part 2 > Flashcards

Exam 1 Part 2 Flashcards

1
Q

Contact precautions

A
  • MRSA
  • VRE
  • C. Diff
  • gown and glove PPE
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2
Q

Droplet precautions

A
  • Measles
  • Mumps
  • Meningitis
  • Streptococcus
  • Wear a mask
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3
Q

Airbourne precautions

A
  • TB
  • Wear N-95
  • Do not have contact with pts with varicella, varicella zoster, and measles (rubella)
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4
Q

Thoracic cases

A
  • tumor resection
  • lung reduction
  • transplant
  • esophageal/tracheal resection
  • thoracoscopy/bronchoscopy
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5
Q

Thoracic anesthetic concerns

A
  • general anesthesia
  • one lung ventilation
  • sternotomy
  • positioning
  • invasive monitoring
  • icu transport
  • chest tube placement
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6
Q

Neurosurgery

A
  • Intracranial
  • Spinal
  • Functional–for people with tremors
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7
Q

Neurosurgery anesthesia concerns

A
  • general, local, or MAC
  • cerebral blood flow
  • hyperventilate to decrease blood flow
  • stay vigilent on twitches! Keep paralyzed!
  • use propofol to slow brain down** called burst suppression**
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8
Q

Intracranial pressure > than _____ mmHg

A

15

Increase in tissue or fluid within the rigid cranial vault

Signs/symptoms: headache, n/v, altered consciousness

Treatments: decadron (steroid), diuretics (mannitol)

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9
Q

Orthopedic anesthesia concerns

A
  • GA, Regional, Nerve Block
  • Tourniquets increase BP
  • polymethylmethacrylate
    *
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10
Q

Opthalmology anesthesia concerns

A
  • GA, MAC, Retrobulbar block
  • Intraocular pressure:want it low
  • Oculocardiac reflex (accidentally pull lateral rectus) let the muscle go!
    • Opthalmic tract of trigeminal nerve
    • Vagus nerve
  • Gas expansion–have to wear bracelet and no flying
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11
Q

Prone positioning

A
  • padding under knees
  • padding under ankles
  • padding under elbows
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12
Q

Vascular anesthetic concerns

A
  • GA, regional
  • invasive monitors–location
  • anticoag
  • neuro monitoring
  • length of case
  • patient population–patients can be too sick to be put under GA
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13
Q

Laparascopic cases

A
  • Splenectomy
  • Herniorrhaphy
  • Appendectomy
  • Cholecystectomy
  • Kidney donor
  • Bowel resection
  • Adrenalectomy
  • Gastric bypass
  • GERD Cessation
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14
Q

Laparascopic anesthesia concerns

A
  • GA
  • insufflation causes decrease in BP
  • increased PIP (peak inspiratory press.)
  • EtCO2 Issues
  • Pneumo everything and pneumothorax
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15
Q

Transplant anesthesia concerns

A
  • GA
  • electrolyte imbalance
  • organ preservation
  • coagulation anomaly
  • pathophysiology of patient
  • volume status
  • IV access
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16
Q

Pediatric cases

A

Older kids are physiollogically similar to adults. Just consider weight-based doses.

17
Q

Obstretic anesthetic concerns

A
  • GA, spinal (can’t push), epidural (can push)
  • drug effects on mother/fetus
  • fetal distress monitoring
  • aortocaval compression (positioning)
  • teratogenic drugs–VERSED causes birth defects
18
Q

Gyno cases:

Hysteroscopy

Hysterectomy

Myomectomy

D&C

A
  • hysteroscopy: not that quick
  • hysterectomy–can be bloody
  • myomectomy–fibroid
  • D&C very quick
19
Q

Gynecologic Anesthesia

A
  • Patient can choose GA vs. Regional!
  • Blood loss
  • Monitoring
  • age of patient
  • apprehension
20
Q

genitourinary cases

A
  • cystoscopy is short
  • TURP (trans urethral resection of prostate
  • stone extraction
  • nephrectomy
  • prostatectomy
21
Q

Cystectomy with neobladder

A

long bloody case

22
Q

Genitourinary anesthesia concerns

A
  • GA, regional, MAC
  • Location from OR
  • Obturator reflex
  • Bx or resection of lateral wall of bladder
    *
23
Q

TURBT

A

Trans-urethral resection of bladder tumor

24
Q

TURP syndrome

A
  • Water
  • Electrolytes
  • Sorbitol
  • Mannitol
  • Low Na+ can cause coo coo patients
25
Q

Otorhinolaryngology cases

A
  • Endoscopy always GA because so stimulating.
    *
26
Q

ENT anesthesia concerns

A
  • GA
  • fire protection
  • tracheostomy
  • nasal intubation
  • muscle relaxants
  • field avoidance
  • no airway

Anesthesia Practice (6 decks)

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