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Test 2 > Perioperative > Flashcards

Perioperative Flashcards

1
Q

emergent sx is one that

A

requires immediate attention such as a gun shot wound

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2
Q

urgernt sx is one that needs

A

promt attention w/ 24-32 hours

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3
Q

required x is one that

A

surgery is needed with a few weeks such as a BPH

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4
Q

an elective sx is one that

A

you should have the sx but this is not a life or death sitaution
such as the removal of keloid scar

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5
Q

optional surgery is one that

A

lies with the patient such as cosmetic surgery

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6
Q 
BMI assessment
underweight
normal
overweight
obese
A

underweight is less than 18.5
normal is 19-24
overweight is 25-29
obese is over 30

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7
Q

clear liquids includes the following and should be stopped with ___ hrs of having surgery

A

water, tea, black coffee, carbonated drinks, fruit juice w/ no pulp
stop with 2 hours

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8
Q

Pt should stop St Johns how many weeks before

A

2 weeks

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9
Q

Ginsing, garlic, ginko balboa- can cause

A

increased bleeding

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10
Q

Surgical Care improvement Plan includes a prophalactic regime that includes :

A

antiobiotics 1 hr before

Vanco -2 hours before

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11
Q

when giving vanco we give it ___hours before what precautions should we take or watch for

A

give it two hours before because this needs to be infused very slow-giving it too rapidly can cause red man syndrome

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12
Q

who responsibility is it to explain the surgery and nurse is witness
TRue False

A

True

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13
Q

who can sign consent

A

power of attorney, parent,

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14
Q

imancipated minor is

A

over 16
married
biggest is have to have a court order

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15
Q

16 pregnant young women lives w/ parent who signs

A

she is emancipated-she signs for herself

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16
Q

ideal temp in OR is

A

68-73

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17
Q

Humidity in OR

A

30-60%
less than 30 can cause static and fire
over 60 can cause moisture and risk of contamination of supplies

18
Q

what is class II

A

clean contaminated

such as a tonsillectomy or GU

19
Q

Class III

A

this is contaminaed such as a fresh wound

gunshot to abdomen

20
Q

class IV

A

dirty or infected before hand

chronic ulcer

21
Q

How do we remove hair

A

we clip we do not shave

22
Q

what is malignant hyperthermia

A

crisis situation arising from inhaling anectine(inhalation agents)

  • genetically linked
  • mainly happens to younger population
  • muscle builders
  • typicaly 15-24 but can happen up to 24 hours
23
Q

early signs of MG

A

jaw rigity
tachy over 150
hypercapnia
general muscle rigity

24
Q

Later signs of MH

A 
PVC-hyperkalemia
Hypotension decreased CO
tea colored urine
hypxia
acidosis
core body temp rising 1-2 q 5 min up to 113
25
Q

Treatment of MH

A

D/C gases
dantrium
ice
ice NS

26
Q

what is minimal sedation

A

minimal is meds are given to reduce anxiety

27
Q

moderate sedation

A

drug induced depression of conscoiusness

can awaken when stimulated

28
Q

deep sedation or MAC

A

drug induced anesthesia

can not be easily arroused but can be aroused with repeated paianful stimuli

29
Q

General anesthesia

A

deep loss of conscoiusness
not arousable
assistance to maintain airway
cardiovacular fx may be impaired

30
Q

penotothl

A

IV Barbituate

rapid onset

31
Q

Brevital

A

IV Barb

  • may be seen in ophthalmic patients
  • little or no analgesia
32
Q

Propofol

A 
no barbituate drg
rapid onset
short duration
Watch for egg allergy--bacterial infection
NO ANALGESIA
PAIN AT INJECTION SITE
33
Q

Amidate

A
  • –fewer cardio effects

- usueful in hemodynamically instable patients

34
Q

Benzos used in Pre-and intra OP include

A

versed valium ativan

–potenite effecst of opioids

35
Q

Refersal for benzos is

A

romazion–can cause seizures

36
Q

Anectine

A

depolarizing muscle relaxing agent
-post op myalgias
can not be reversed

37
Q

“curium”

A

non-depolarizing

38
Q

Reversal for curims’

A

neostigim, Tensilon

39
Q

aniemteics
Inapsine
Phenergan

A

Inapsine-very effective, potential systhrythmia, larynogospasms, bronchos

40
Q

phenergan

A 
IV watch out
tissue necrosis
slow
dilute
give close to bag

Test 2 (11 decks)

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