Intra-Operative & Post-Operative Panopto Flashcards
When do you give Anesthesia?
The Intra-Op Phase
Generally whenever a pt gets anesthesia, it will either be -
General Anesthesia
Regional Anesthesia
Moderate Sedation
Local Anesthesia
What type of Anesthesia used to be called Conscious Sedation?
Moderate Sedation
What does General Anesthesia cause a loss of?
Loss of Sensation, Protective Reflexes, and Consciousness
What type of anesthesia makes you enter an unconscious state to not feel pain and allow for amnesia of an event?
General Anesthesia
What route is used to give General Anesthesia?
Can be given via IV.
Can be given via Inhalation Agents (Nitrous Oxide) using a mask.
What’s the most commonly used Anesthetic Agent?
Propofol
What type of Anesthesia is Propofol used for?
General Anesthesia
What should you assess before giving Propofol?
Allergies (Allergy to Eggs + Soybean Oil are contraindicated)
When you give a pt General Anesthesia, what do you do to their airway?
Intubate them with an Endotracheal Tube
What does Regional Anesthesia cause a loss of?
Loss of sensation in a specific body area
What route can you use to give Regional Anesthesia?
Topical, Nerve Block, Local, Spinal, Epidural
Which types of Anesthesia don’t use the route of Inhalation?
Regional Anesthesia + Moderate Sedation
What is Regional Anesthesia used to prevent?
Post-Operative Pain
Regional Anesthesia is great for whenever a pt has to-
Have an Emergency Surgery whenever they haven’t been NPO
Does a pt need to be NPO before being given General Anesthesia?
Yes, to avoid Aspiration
Does a pt need to be NPO before being given Regional Anesthesia?
No (Hence why it’s good for Emergency Surgeries)
Does a pt need to be NPO before being given Moderate Sedation?
Yes
Does a pt need to be NPO before being given Local Anesthesia?
Yes
You have a pt come into the unit. They’re having a medical emergency and need prompt surgery. They have not been previously NPO.
Should you give them Regional Anesthesia or General Anesthesia?
Regional to avoid aspiration
With a Rotative Cuff surgery, what type of Anesthesia would you get?
You’ll still give General Anesthesia, but you’ll also give Regional Anesthesia to block the pain in that arm for the pt while they’re recovering Post-Operatively.
The pt should be awake when given which type of Anesthesia?
Moderate Sedation
What does Moderate Sedation cause?
A Depressed LOC
Moderate Sedation is considered to be-
Incomplete Anesthesia
What would you to the airway if someone taking Moderate Sedation?
Shouldn’t need to do anything to it
A person under Moderate Sedation can respond to Verbal Commands.
True or false?
True
What meds can you use to give Moderate Sedation?
Midazolam, Diazepam, Meperidine, or Fentanyl
Moderate Sedation is typically used when?
During an Endoscopy or a Cardiac Cath
Are RN’s ACLS Certified?
Yup
What does it mean to be ACLS Certified?
ACLS = Advanced Cardiovascular Life Support
What can RN’s administer for Moderate Sedation?
Opiates or Versed
What can RN’s not administer for Moderate Sedation?
Anesthetics or Paralyzing Agents
What are 2 Local Anesthetics that you can use for Local Anesthesia?
Procaine and Lidocaine
What is Local Anesthesia?
It’s when you give a pt a Local Anesthetic to numb a specific area
What’s the difference between Local Anesthesia and Regional Anesthesia?
They both cause Local Numbness, but you are numbing a smaller area with Local Anesthesia.
You can also take Local Anesthesia and still be actually conscious.
What is Dorsal Recumbent position?
It’s like laying supine, but your legs are bent a bit
Your Supine and Dorsal Recumbent Positions are used for-
Abdominal Surgery, Head and Neck Surgery, any Anterior Approach
What is Trendelenburg?
It’s when you elevate the foot of the bed above the head of the bead
What is Reverse Trendelenburg?
It’s when you elevate the head of the bed above the foot of the bed
If a patient is in a lateral position then they are-
On their side
What is Lithotomy Position?
Supine, but your legs are being lifted by stirrups
When should your pt be in a Prone position?
Whenever they’re having Spine Surgery or Rectal Surgery
What is Jackknife position?
You’re lying prone on a table that bends around where your hips should be
What is Jackknife position used for?
Proctology
The branch of medicine concerned with the anus or rectum =
Proctology
When is Reverse Trendelenburg used?
For Head and Neck procedures
What is used to prevent blood from pooling in the Reverse Trendelenburg position?
Sequential Compression Devices
What is Trendelenburg used for?
Used for Pelvic Surgery.
This is a shock position for Hypovolemic Shock pt’s.
When is Lateral position used?
Whenever you need access to the Thorax, Kidney, or Hip
What is the Lithotomy used for?
Perineal Surgery, Surgery around the Genitalia, Pelvic Surgery