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Clinical Entrance Exam > MAC, Gen, Epidural, Spinal > Flashcards

MAC, Gen, Epidural, Spinal Flashcards

1
Q

“MS MAID”

A

Machine
Suction

Monitor
Airway
IV
Drugs

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2
Q

CRNA’s responsibilities PRE - Induction

A

Patient- ID / Reassess/ Questions
MR - ID/ consent/ labs/ orders/ notes “TIME OUT”
Lines - iv access and monitoring
Intra op or post op epidural
pre op meds — anxiety, airway, pain, abx, antacids

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3
Q

Pre induction period

A

Transport to OR (with PULSE OX - HR & O2sat)
Position on OR table
Secure Safety Straps
Apply monitors

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4
Q

Advantages of Peripheral Nerve Block

A

Maintenance of consciousness
continued presence of protective upper airway reflexes
Avoidance of NMBD’s

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5
Q

Disadvantage of Peripheral Nerve blocks

A

unpredictable attainment of adequate sensory and motor anesthesia for performance of the surgery

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6
Q

Success of Peripheral Nerve block depends on

A

skill of provider

patient cooperation

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7
Q

Advantages of spinal over general anesthesia

A 
reduced stress response to surgery
less blood loss (ie hip surgery)
less incidence of DVT
less pulmonary complications
less cardiac complications
better in OB - less med admin to mother & fetus
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8
Q

Common Dermatome Levels

A

Nipple - T4
xiphoid - T6
Umbilicus T10
Cardioacceleators - T 4-5

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9
Q

Dermatone Level of Nipple

A

T4

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10
Q

Dermatone Level XIPHOID

A

T6

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11
Q

Dermatone Level UMBILICUS

A

T10

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12
Q

Dermatone Level CARDIOACCELERTORS

A

T 4-5

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13
Q

Most used interspace in spinal anesthetic

A

L3-L4

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14
Q

Largest interspace

A

L5-S1

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15
Q

Where does the Spinal cord end?

A

Adults - L1-L2

Peds - S4

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16
Q

Order of Entry for a Spinal

A

“Some say sister ida loves doing acid”

Skin
Subcutaneous Structures
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Dura Mater
Arachnoid Membrane
17
Q

Symptoms of Postdural Puncture Headache (PDPH)

A 
Headache (24-48h after puncture)
double vision
blurred vision
photophobia
tinnitus
*always wanting to lie down / not sit up
*baby bonding
18
Q

Tx of Postdural Puncture Headache (PDPH)

A

bed rest
IV fluids
analgesics
caffine (500mg iv)

Blood patching - 15-20ml pt blood in epidural space

19
Q

Order of Entry for a Epidural

A

“Some Say Sister Ida Loves Either”

Skin
Subcutaneous fat
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Epidural Space
20
Q

Epidural Hematoma

A

Emergent!

s/s back pain and leg weakness.
-decompress w/in 6-8hours or risk of irreversible neuro damage

Clinical Entrance Exam (21 decks)

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