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Anesthesia > Monitoring & ET Intubation QUIZ & LAB > Flashcards

Monitoring & ET Intubation QUIZ & LAB Flashcards

1
Q

T/F: A dog or cat in the “surgical plane” of anesthesia will have a respiratory rate of 8-20 breaths/minute. A rate of less than 8 breaths/minute is considered excessive anesthetic depth.

A

True

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2
Q

T/F: If a patient arrests and expires under anesthesia, the pupils will be full dilated.

A

True

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3
Q

Which of the following eye responses can be used to assess anesthetic depth?
1. all of the answers are correct
2. position of the eye
3. pupillary light response
4. size of the pupil

A
  1. all of the answers are correct
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4
Q

What is the position of the eye that reflects an appropriate surgical plane?
1. central
2. ventromedial rotation
3. ventrolateral rotation
4. dorsolateral rotation
5. dorsomedial rotation

A
  1. ventromedial rotation
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5
Q

T/F: An apnea monitor assists with monitoring as it gives information regarding quality of ventilation.

A

False

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6
Q

Stages:
1. Stage I: Planes I-III
2. Stage II
3. Stage III: Plane II
4. Stage III: Plane III
5. Stage IV

Definitions:
a. Hyperexcitability & vocalization
b. Normal to sedated
c. Respiratory paralysis
d. Standard Surgical Anesthesia
e. Deep surgical anesthesia

A
  1. Normal to sedated
  2. Hyperexcitability & vocalization
  3. Standard Surgical Anesthesia
  4. Deep surgical anesthesia
  5. Respiratory paralysis
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7
Q

What mean arterial blood pressure (MAP) do we start to be concerned about organ compromise from poor perfusion?
a. 20mmHg
b. 100mmHg
c. 160mmHg
d. 60mmHg

A

d. 60mmHg

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8
Q

How can you evaluate perfusion in an anesthetized patient?
a. Evaluate eye position
b. Check reflexes
c. Palpate peripheral pulses
d. Auscult the heart

A

c. Palpate peripheral pulses

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9
Q

Purpose of each:
1. Capnometer
2. Pulse Ox
3. Doppler
4. Oscillometric BP monitor
5. Apnea monitor

Purposes:
a. Measuring pulse rate & systolic BP
b. Measuring systolic, diastolic, & mean blood pressure
c. Measures presences of respiration
d. Measuring the amount of O2 in blood
e. Measuring CO2 in expired breath

A
  1. Measuring CO2 in expired breath
  2. Measuring the amount of O2 in blood
  3. Measuring pulse rate & systolic BP
  4. Measuring systolic, diastolic, & mean blood pressure
  5. Measures presences of respiration
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10
Q

T/F: The anesthesia monitoring log is a part of the legal medical record.

A

True

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11
Q

Which of the following statements is INCORRECT?
1. A high ETCO2 means that your patient is too light
2. You should be “bagging the patient” every 5-10 minutes
3. If the SpO2 is over 95% your patient’s blood is well oxygenated.
4. You should be monitoring and recording every 5-10 minutes under anesthesia

A
  1. A high ETCO2 means that your patient is too light
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12
Q

T/F: The absence of a corneal reflex means that your patient is too light.

A

False

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13
Q

Before you extubate a patient, you need to ___ the cuff and check to make sure the patient can ___.

A
  1. Deflate
  2. Swallow
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14
Q

You use a ___ to directly visualize placement of an ET tube.

A

Laryngoscope
or
Direct light source

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15
Q

Name two of our senses that we use to monitor patients under anesthesia. Give one example of what you are monitoring. For example (you cannot use this as an answer):

Sense of smell: detecting a gas leak.

A
  1. Sight: is the CRT within normal limits? MM coloring okay & moist?
  2. Touch: check pulse rate
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16
Q

Label the parts

Bank: (there will be leftover)
-Magill curve -Connector -Bevel
-Murphy’s eye -Cuff -Pilot balloon

A

a. Connector
b. Magill curve
c. Pilot balloon
d. Cuff
e. Murphy’s eye

Leftover: Bevel

17
Q

Unit of measurement for ET tubes is…

A

Millimeters (mm)

18
Q
  1. What is a consequence of over inflation of the ET tube cuff?
  2. What is a consequence of under inflation of the ET tube cuff?
A
  1. Traumatized trachea
  2. Aspiration
    - Patient can also inhale room air & exhale iso air
19
Q
  1. How do you determine the proper length of the tube?
  2. What can happen if the tube is too long?
A
  1. Tip of the nose to the thoracic inlet
  2. Can intubate one lung instead of both
20
Q
  1. What is a common complication during feline intubation?
  2. What is done to prevent the complication mentioned above?
A
  1. Laryngeal reflex/spasms
  2. Lidocaine to paralyze folds. Lubricate end of tube.
21
Q
  1. Where do you place an esophageal stethoscope? (be specific)
  2. What are you assessing with the esophageal stethoscope?
A
  1. Down the esophagus until heart sounds are maximized.
    - Measure to thoracic inlet.
  2. Patients HR & heart sounds
22
Q

What three parameters are being measured using an oscillometric monitor? (3)

A
  1. Systolic
  2. Diastolic
  3. MAP (Mean Arterial Pressure)
23
Q
  1. What parameter is being measured using the Doppler?
  2. What is a pro and a con to using oscillometric monitors?
A
  1. Systolic BP only
  2. Oscillometric monitor:
    - Pro: Systolic & diastolic BP are calculated, non-invasive measurement.
    - Con: Difficult reading on awake & moving patients
24
Q
  1. What is apnea?
  2. How does the apnea monitor take its measurements?
A
  1. “Not breathing”
  2. “Beep” is sound on expiration of patient. Alarm will sound after x amount of time passes without an expiration.
    - Doesn’t measure quality of of RR!
25
Q
  1. What is the ETCO2 device monitoring?
  2. What are the normal parameters for ETCO2?
  3. What does it mean if the ETCO2 reading is too high?
  4. What could you do, as an anesthetist, to correct a reading that is too high?
A
  1. CO2 levels exhaled
  2. 35-45mmHg
  3. Too high:
    - Hypoventilating
    - Rebreathing CO2 from exhausted soda lime
  4. Correction:
    - Assisted ventilation
    - Change out soda lime!!
26
Q

Two ways you can determine ET tube diameter for patient:

A
  1. Palpate trachea
  2. ET tube bevel fit between the nostrils
27
Q

Oropharyngeal Anatomy
A, B, C, D, & E

Word Bank: (will be leftover)
-Esophagus -Trachea -Nasal cavity
-Epiglottis -Soft palate -Larynx
-Arytenoid cartilage -Hard palate

A

A. Epiglottis
B. Trachea
C. Esophagus
D. Arytenoid Cartilage
E. Soft Palate

Leftover:
Hard palate, Larynx, Nasal cavity

Anesthesia (23 decks)

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