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SRNA3AnesthesiaMgt > FINAL EXAM REVIEW > Flashcards

FINAL EXAM REVIEW Flashcards

1
Q

Non-cutting

A

Sprotte
Whitacre
Pencan

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2
Q

Definition – Chronic pain is a

A

physical and emotional response to tissue damage that

lasts longer than the expected duration of pain.

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3
Q

pain following a distribution of a nerve or group of nerves

A

Neuralgia –

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4
Q

perception of pain in an area that lacks sensation

A

Anesthesia dolorosa –

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5
Q

perception of a non‐painful stimulus as painful

A

Allodynia

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6
Q

Lack of all sensation, painful or otherwise

A

Anesthesia –

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7
Q

The presence of an unpleasant sensation whether or not a causitive stimulus is present

A

Dysesthesia –

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8
Q

– Diminished response to painful stimuli

A

Hypoalgesia

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9
Q

– Increased or aggravated response to painful stimuli

A

Hyperalgesia

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10
Q

– Exaggerated response to a mild stimus.

A

Hyperesthesia

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11
Q

Name layers of spinal

A

SIFEDASP

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12
Q

Reduced ability to sense cutaneous

stimuli such as light touch, pressure, or temperature

A

Hypoesthesia –

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13
Q

Abnormal sensation that occurs without

stimuli (numbness, tingling, pins &needles)

A

Paresthesia –

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14
Q

Functional abnormality associated with at least one nerve root

A

Radiculopathy

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15
Q

Complex interaction between peripheral and central pain mechanisms associated with lesions of peripheral nerves, nerve roots, ganglions, or spinal structures

A

Neuropathic pain

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16
Q

Sensation of pain in a limb that has been amputated

A

• Phantom pain

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17
Q

Lack of pain perception

A

Analgesia

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18
Q

Combined disorder consisting of hyperesthesthia, allodynia, and hyperalgesia

A

Hyperpathia

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19
Q

What former name for CRPS Type I?

A

Reflex sympathetic dystrophy

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20
Q

What former name for CRPS Type II?

A

Causalgia

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21
Q

CRPS – There are

two types. Type I and Type II.

A

Complex regional pain syndrome.

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22
Q

CRPS Characterized by

A

spontaneous pain, allodynia, hyperalgesia, sudomotor

and vasomotor dysfunction

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23
Q

Opioids receptors location in the SC

A

substantia Gelatinosa

Brain–: Periaqueductal gray, and the , Locus coeruleus

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24
Q

Liphophillic opioids

A

Fentanyl
sufentanyl
Methadone.

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25
Q

Depth of epidural Catheter

A

11-12 cm

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26
Q

Each black line

A

5 cm

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27
Q

Nerve stimulator lead placement

A

Orbicularis ocularis
Adductor policis
Posterial tibial

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28
Q

Action of SUCC

A

Binds to ACH

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29
Q

Metabolism of succ

A

Plasma pseudocholinesterase

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30
Q

TOF 1/4 Receptor blocked

A

90%

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31
Q

TOF 2/4 Receptor blocked

A

85%

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32
Q

TOF 3/4 Receptor blocked

A

80%

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33
Q

TOF 4/4 Receptor blocked

A

75%

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34
Q

Contraindications of SUCC

A

MD
Hx of MH
Old CVA
Increase ICP

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35
Q

Succinylcholine and M

A

2x dose MG

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36
Q

NDNMB and Asthma

A

Histamine release with Atracurium, hoffman and esters h

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37
Q

Treatment of Laryngospasm
Dosing of succ for laryngospasm________
then give ______

A 
Call for help
0.1mg/kg
100% FiO2
Lidocaine 1.5mg/kg 
Sedate patient
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38
Q

Phase I block

A

FADE

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39
Q

Phase II Block

A

NO fade

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40
Q

Local anesthetics spread

B DGBA C

A

From OUTER TO INNER
B fibers, Adelta, Agamma , Abeta, Aalpha, C fibers
Block the conduction of impulses
Block Na channels

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41
Q

PA catheter cm RA

A

20-25cm

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42
Q

PA Catheter cm RV

A

30-35cm

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43
Q

PA catheter cm PA

A

40-45cm

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44
Q

Wedge site cm PA catheter

A

45-50cm

45
Q

a waver

A

Atrial contractio

46
Q

C wave

A

Tricuspid buldging in ventricle

47
Q

v wave

A

systolic filling of the atrium

48
Q

Most common used DLT

A

left

49
Q

Tracheal cuff; how many ml of air

A

20 ml

50
Q

Bronchial cuff how many mls of air

A

3 ml

51
Q

Fire triad

A

Fuel
Oxygen
Heat

52
Q

NORA

A

Oxygen supplies
Suction
Scavenger
Full tanks

53
Q

Dexmetomidine (precedex)

A

Alpha 2 agonist
Produce both SEDATION and analgesia

1600:1 alpha 2 to alpha 1 ratio

54
Q

Precedex class

A

Alpha 2 agonist

55
Q

Sentinel

A

sentinel event as an unanticipated death or loss of function unrelated to the natural course of the patient’s illness or underlying condition or wrong-site, wrong-procedure, wrong-patient surgery. Such an event is called sentinel because it signals a need for an immediate investigation and response.

56
Q

Monitored Anesthesia Care vs Sedate

A

MAC: Twillight sleep, potential for a deeper level of sedation than that provided by sedation/analgesia and is always administered by anesthesia professional

Sedation is performed by ICU nurses, non anesthesia personnel, with training sedation principles.

57
Q

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

A

AS soon as the tracheal cuff passes the vocal cords

you inflate the cuff

58
Q

When performing the laryngoscope

A

AS soon as the tracheal cuff passes the vocal cords

you inflate the cuff

59
Q

Spinal Anesthesia ASA contraindications

A

None

60
Q

Spinal Anesthesia contraindications Antiplatelets: Clopidogrel

A

Stop for 7 days prior to neuraxial block ; if considered between 5-7 days, check platelet function

61
Q

Spinal Anesthesia contraindications Antiplatelets: Prasugrel

A

Stop for 7-10 days prior to neuraxial block , wait 9 hours

62
Q

Spinal Anesthesia contraindications Antiplatelets: Ticagrelor

A

Stop for 5-7 days prior to neuraxial block , wait 10 hours

63
Q

Spinal Anesthesia contraindications Antiplatelets: Ticlopidine

A

Stop 14 days prior

64
Q

Spinal Anesthesia contraindications: WARFARIN

A

stop 4-5 days ,

65
Q

When catheter removed for warfarin, INR

A

INR <1.5

66
Q

Warfarin held when INR is

A

INR> 3

67
Q

For heparin prophylaxis dose wait

A

10-12 hours

68
Q

For heparin treatment dose wait

A

24 hours

69
Q

To restart heparin therapy , catheter should have been out for at least______prior to initiation of therapy. Single dose therapy , wait how long

A

2 hours; 10-12 hours

70
Q

Thrombin and Xa inhibitors restart

A

DAR (dabigatran, Apixaban, Rivaroxaban)
56 Wait 5 days, then 6 hour after
37 wait 3 days, then 6 hour after
38 wait 3 days then 8 hour

71
Q

Tetany with Fade

A

Non-depolarizing

72
Q

Tetany no FADE

A

Depolarizing

73
Q

The entry of this ion facilitates the release of the neurotransmitter at the NMJ end plate

A

CALCIUM

74
Q

The last to be paralyzed but the first to recover among the different muscles of the body from nondepolarizers are the muscles of the

A

DIAPHRAGM

75
Q

TOF use to determine

A

NM blockade.

76
Q

No problem to give SUCC TO those patients

A

Parkinson’s Disease
Epilepsy
Acute CVA

77
Q

Do not give SUCC

A

Spinal cord injry > 1 wk

78
Q

Dose of succinylcholine with fasciculation

A

1-2 mg /kg

79
Q

AANA standard regarding infection

A

One needle, one patient, one syringe

80
Q

PPE

A

OR masks
eye protection
OR hats

81
Q

2 principles that violate infection control recommendations

A

Monitoring cable should be wiped down once a day

Anesthesia machine should be wiped down once a day

82
Q

Review fibers blocked first and last

A 
B fibers
A Delta
A Gamma
A Beta
A Alpha
C fibers
83
Q

Fast impulses for sharp pain is mediated by what specific nerve fiber

A

A delta fibers

84
Q

Recurarization in the PACU definite signs

AID

A

Appears uncoordinated
Increase resp effort
Declining O2 saturation

85
Q

Maximal duration of tourniquet time is not well defined, although

A

2 hours is generally considered safe to avoid distal tissue ischemia.

86
Q

Max tourniquet pressure.

A

The inflation pressure should not exceed 100 mm Hg above the systolic pressure for the upper extremity or above 150 mm Hg for the lower extremity. However, higher pressure may be needed in morbidly obese patients to prevent arterial inflow.

87
Q

Signs and symptoms recurarization in the PACU

A

O2 sats drop, unresponsive pt, floppy,
ineffective abdominal and intercostal activity.
Feeling of suffocation

88
Q

Treatment recurarization in the PACU

A

Resedate the patients

Give reversal

89
Q

Entry of PA

A

35-45 cm

90
Q

Proper sizing of the DLT is baed off of

A

HEIGHT

91
Q

Proper depth of ETT For MALE

A

20-22

92
Q

Proper depth of ETT for FEMALE

A

22-24

93
Q

Hockey stick correlates

A

Height

94
Q

A line transducer higher then bed

A

Underestimate BP

95
Q

A line transducer lower then bed

A

Overestimate BP

96
Q

A line transducer at PHLEBOTAXIS AXIS

A

Accurate BP

97
Q

MAC involves the administration of drugs with

A

Anxiolytic
Amnestic
Hypnotic
Analgesia.

98
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 THA

A

Propofol/Ketamine

99
Q

Anatomy of the spine for SPINAL Anesthesia

A 
IP SADEL SIST
Intervertebral disc
Pia mater
Spinal nerve
Arachnoid Matter
Dura matter
Epidural Fat
Ligamentum Flavum
Spinous process 
Interspinous Ligament
Supraspinous Ligament 
Transverse process.
100
Q

The meaning of underdampened

A

Systolic overestimated

Diastolic underestimated

101
Q

The meaning of Overdampened

A

Systolic underestimated

Diastolic overestimated.

102
Q

CVP measures and should be measured at

A

Filling pressure of the Right side of the heart

END EXPIRATION

103
Q

Ease of cannulation

A

IJ better than subclavian

104
Q

Complications IJ vs Subclavian

A

IJ better than subclavian

105
Q

PAC indications

A 
evaluation of response to fluid administration
Valvular heart disease
ARDS
Recent MI
Massive trauma
106
Q

Zone lungs

A

Zone 1 PA> Pa> Pv
Zone 2 Pa> PA> Pv
Zone 3 Pa>Pv> PA

107
Q

The Tip of PAC must lie in

A

ZOne 3 for accurate measurements of PAWP

108
Q

Supine position favors

A

Zone 3

SRNA3AnesthesiaMgt (13 decks)

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