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SRNA3AnesthesiaMgt > Exam 2 Review > Flashcards

Exam 2 Review Flashcards

1
Q

Arterial transducer is higher than bed weight

A

underestimate BP

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2
Q

Arterial transducer is lower than bed weight

A

overestimate BP

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3
Q

Arterial transducer is at phlebostatic axis

A

accurate BP

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4
Q

c wave corresponds with

A

tricuspid bulging

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5
Q

v wave corresponds with

A

systolic filling of the atrium

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6
Q

a wave corresponds with

A

atrial contraction

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7
Q

Which of the following may be a contradiction to placing a pulmonary artery catheter?

A

Left bundle branch block

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8
Q

With your right internal jugular PA catheter inserted to 30-35cm, the wave form should
indicate you are at which location?

A

Right ventricle

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9
Q

When placing a PA catheter, complete heart block may occur if the patient has which pre-
existing condition?

A

LBBB

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10
Q

Which site of arterial cannulation is at highest risk of developing an infection?

A

Femoral

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11
Q

Indications for the placement of a central venous catheter include all the following EXCEPT:

A

tricuspid valve vegetation-(correct this is contraindicated)

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12
Q

What 2 drugs can be used to help sedate the patient for the block as well as for positioning on the OR table prior to total hip replacement surgery.

A

b. propofol/ ketamine

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13
Q

Which of the following is more likely to occur with the use of carbon dioxide for abdominal
insufflation?

A

Hypercarbia

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14
Q

The AANA standard regarding syringe specifically recommends (select 3 correct answers)

c. multi use syringes are acceptable if they are cleaned between patients
e. one alcohol swab
f. one multi dose vial

A

a. one needle
b. one patient
d. one syringe

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15
Q

The following are considered as personal protective equipment and are expected to be worn by all anesthesia providers and all
operating room personnel. (select 3 correct answers)
a. lab coat
e. OR sterile gowns

A

b. OR masks
c. eye protection
d. OR hats

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16
Q

Which of the following practices VIOLATE infection control recommendations? ( select 2
correct answers)
a. The anesthesia machine must be disinfected after every patient use.
c. The anesthesia cables must be disinfected after every patient.

A

b. The monitoring cables should only be wiped down once a day.
d. The anesthesia machine should only be wiped down once a day.

17
Q

Contraindications to central line placement include (select 2)

A

a. tumor in right atrium

d. tricuspid valve vegetation

18
Q

When an arterial line transducer is accidentally placed one foot above the phleboatatic level, the resulting arterial blood pressure reading will be:

A

significantly decreased from the zeroed point

19
Q

Which site of invasive arterial monitoring will result in the largest pulse wave generation as seen on the monitor?

A

Femoral

20
Q

With regard to placement of central lines, the “seldinger technique refers to what?

A

Catheter over guidewire technique

21
Q

What is the volume of air required to inflate the balloon of a PA catheter?

A

1.5ml

22
Q

The most definitive sign of correct placement of a double lumen tube is?

A

Fiberoptic bronchoscopy

23
Q

The most commonly used double lumen tube is

A

LEFT

24
Q

The tracheal cuff of the DLT can accommodate up to how many mls of air?

A

20 ml

25
Q

The bronchial cuff of the DLT can accommodate up to how many mls of air?

A

3ml

26
Q

When performing laryngoscopy for the placement of a DLT, the stylet should be removed when?

A

As soon as the tracheal cuff passes the vocal cords

27
Q

Proper sizing of a DLT is based upon a patients

A

Height

28
Q

indications for the arterial line placement include 3 of the following:

A

Multiple lab draws
Anticipated wide BP swings
Beat to beat BP control

29
Q

This is an example of a _______Allen’s test.

A

positive

30
Q

With the axillary approach to arterial line placement which side is preferred over the other?

A

Left

31
Q

Three of the following are potential complications of arterial lines

a. pneumothorax
d. brachial plexus injury

A

infection
nerve damage
bleeding

32
Q

Three of the following are potential complications of arterial lines

A

infection
nerve damage
bleeding

33
Q

Three of the following are true statements regarding arterial lines

A
  • Quality of the wave form is dependent upon the catheter tubing transducer
    system.
  • arterial lines are the gold standard for beat to beat monitoring
  • false readings may lead to inappropriate interventions.
34
Q

Image could be indicative of what?

A

Hypovolemia

35
Q

Three disadvantages of a femoral art line are

A

Infection
Pseudoaneurysm
Retroperitoneal Hematoma
Hemorrhage

36
Q

You want the Allen’s test to be

A

Positive

SRNA3AnesthesiaMgt (13 decks)

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