Perioperative

Question 1

emergent sx is one that

Answer 1

requires immediate attention such as a gun shot wound

Question 2

urgernt sx is one that needs

Answer 2

promt attention w/ 24-32 hours

Question 3

required x is one that

Answer 3

surgery is needed with a few weeks such as a BPH

Question 4

an elective sx is one that

Answer 4

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

Question 5

optional surgery is one that

Answer 5

lies with the patient such as cosmetic surgery

Question 6

BMI assessment
underweight
normal
overweight
obese

Answer 6

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

Question 7

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

Answer 7

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

Question 8

Pt should stop St Johns how many weeks before

Answer 8

2 weeks

Question 9

Ginsing, garlic, ginko balboa- can cause

Answer 9

increased bleeding

Question 10

Surgical Care improvement Plan includes a prophalactic regime that includes :

Answer 10

antiobiotics 1 hr before

Vanco -2 hours before

Question 11

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

Answer 11

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

Question 12

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

Answer 12

True

Question 13

who can sign consent

Answer 13

power of attorney, parent,

Question 14

imancipated minor is

Answer 14

over 16
married
biggest is have to have a court order

Question 15

16 pregnant young women lives w/ parent who signs

Answer 15

she is emancipated-she signs for herself

Question 16

ideal temp in OR is

Answer 16

68-73

Question 17

Humidity in OR

Answer 17

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

Question 18

what is class II

Answer 18

clean contaminated

such as a tonsillectomy or GU

Question 19

Class III

Answer 19

this is contaminaed such as a fresh wound

gunshot to abdomen

Question 20

class IV

Answer 20

dirty or infected before hand

chronic ulcer

Question 21

How do we remove hair

Answer 21

we clip we do not shave

Question 22

what is malignant hyperthermia

Answer 22

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

Question 23

early signs of MG

Answer 23

jaw rigity
tachy over 150
hypercapnia
general muscle rigity

Question 24

Later signs of MH

Answer 24

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

Question 25

Treatment of MH

Answer 25

D/C gases dantrium ice ice NS

Question 26

what is minimal sedation

Answer 26

minimal is meds are given to reduce anxiety

Question 27

moderate sedation

Answer 27

drug induced depression of conscoiusness | can awaken when stimulated

Question 28

deep sedation or MAC

Answer 28

drug induced anesthesia | can not be easily arroused but can be aroused with repeated paianful stimuli

Question 29

General anesthesia

Answer 29

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

Question 30

penotothl

Answer 30

IV Barbituate | rapid onset

Question 31

Brevital

Answer 31

IV Barb - may be seen in ophthalmic patients - little or no analgesia

Question 32

Propofol

Answer 32

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

Question 33

Amidate

Answer 33

- --fewer cardio effects | - usueful in hemodynamically instable patients

Question 34

Benzos used in Pre-and intra OP include

Answer 34

versed valium ativan | --potenite effecst of opioids

Question 35

Refersal for benzos is

Answer 35

romazion--can cause seizures

Question 36

Anectine

Answer 36

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

Question 37

"curium"

Answer 37

non-depolarizing

Question 38

Reversal for curims'

Answer 38

neostigim, Tensilon

Question 39

aniemteics Inapsine Phenergan

Answer 39

Inapsine-very effective, potential systhrythmia, larynogospasms, bronchos

Question 40

phenergan

Answer 40

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