Must Knows

Question 1

What are the standards for pre-anesthesia

Answer 1

I- document preanesthesia assessment
II- informed consent
III- specific plan of anesthesia

Question 2

What was the first anesthetists

Answer 2

Sister Mary Bernard

Question 3

Who peformed 14,000 with no complications

Answer 3

Alice McGraw

Question 4

What are six skills for engaging the patient

Answer 4

professionalism, empathy, lay language, personal touch, eye contact, eye level

Question 5

LEMON

Answer 5

look externally,
Evaluate 332
Mallampati,
obstruction
neck mobility

Question 6

abnormal upper airway

Answer 6

snoring, stridor, croup,

lower- wheezing rhonchi rales

Question 7

Blood pressure classification

Answer 7

HTN stage 1 is, 140/99 HTN stage 2 is 160/100,

Question 8

What is a surgeon’s needs for surgery

Answer 8

immobility, positioning, muscel relaxation, ability to post-op test

Question 9

patient concerns

Answer 9

N&V, pain, death, paralysis, awareness, acting/talking crazy

Question 10

AANA standards

Answer 10

I Peform and document a thorough preanesthesia assessment and evaluation
II obtain and document informed consent for the planned anesthetic intervention from the patient or legal guardian, or verify that informed consent has been obtained and documented by a qualified professional.
III Formulate a patient-specific plan for anethesia care

Question 11

AANA Scope of practice

Answer 11

Performing and documenting a pre-anesthetic
assessment and evaluation of the patient,
including requesting consultations and diagnostic
studies: selecting. obtaining, ordering, and
administenng pre-anesthetic medications and
fluids: and obtaining informed consent for
anesthesia. Developing and implementing an
anesthetic plan.

Question 12

ASA Basic Standards for pre-aneshtesia care

Answer 12

1. Reviewing the available medical record
2. Interviewing & performing a focused
   examination of the patient to:
   a. Discuss the medical history, including
   previous anesthetic experiences and medical
   therapy
   b. Assess aspects of the patients physical
   condition that might affect decisions
   regarding perioperative risk and
   management
3. Ordering and reviewing pertinent available
   tests and consultations necessary for the delivery
   of anesthesia
   4 Ordering appropriate preops medications
4. Ensuring that consent has been obtained for
   the anesthesia care
5. Documenting in the chart that the above has
   been performed

Question 13

Active Cardiac conditions for which the patient should undergo evaluation and treatment before non-cardiac surgery

Answer 13

Unstable Coronary Syndromes/ recent MI
Decompensated heart failure, significant arrhythmias
Severe valvular disease
Clinical risk factors
- Hx of ischemic disease, MI, diabetes, renal failure

Question 14

Surgical risk estimates

Answer 14

High risk- aortic, major vascular surgery, PVD
Intermediate risk- intraperitoneal, transplant, carotid, aneurysm repair, head and neck surgery, neurologic,
Low risk- breast, dental, endoscopic

Question 15

STOP BANG

Answer 15

Snoring, Tired Observed, Blood pressure
Bang- BMI, Age, Neck, Gender
A score of 3 or more is at risk,
3 or less is low risk