Extubation, Post-Op Care, & Discharge Flashcards
1
Q
Four phases of an anesthetic event
A
- Pre-anesthesia
- Patient eval
- Prep for procedure - Induction
- Transferring Pt from conscious to anesthetized state - Maintenance
- Keep Pt anesthetized
- Monitoring/recording & support of homeostasis
- Recognizing trends of vital signs is the most important way to prevent anes emergency! - Recovery
- Pt regains consciousness
2
Q
T/F: Most common time for anesthetic related deaths is during the recovery period
A
True! 64% of anesthetic deaths are in this time
3
Q
Recovery period definition
A
Period from cessation of anesthesia to normalization of vital signs and consciousness
4
Q
Safe extubation steps (10)
A
- Discont anesthesia, maintain O2 for 5min.
- Untie ET tube, keep cuff inflated.
- Remove Pt restraints and rotate lat recumb.
- Record post-op vitals every 5min until Pt is sternal.
- Disconnect unneeded monitoring equipment as Pt becomes more awake.
- Discont O2, begin gentle stimulation (rubbing, moving, etc).
- Pt swallows 2-3x’s, deflate & removed ET tube.
- Check tube for blood, fluid, food, or vomit.
- Abnormalities: hang Pt head off table to drain airways.
- Suction mouth.
- Eval if ET needs to be replaced.
- Notify DVM if aspiration. - Place in recovery cage.
- Not the floor or a table! - Cont monitoring & recording vitals until Pt regained consciousness & vitals WNL
5
Q
What should be in a crash cart? (5)
A
- Suction available
- Emergency drugs
- Laryngoscope
- ET tubes
- Ambu bag
6
Q
Emergency drugs in Sx suite or crash cart: (5)
A
- Atropine
- Epinephrine
- Reversal agents
- Hypertonic saline
- Syringes & needles
7
Q
Aspiration definition
A
Inhalation of gastrointestinal contents
8
Q
Aspiration prevention (3)
A
- Fast (NPO) 12hrs prior to Sx
- Don’t let stomach become distended with O2
- Leave ET tube in place, while inflated, until Pt is swallowing spontaneously
9
Q
A
