Premed through Maintenance

Question 1

Prior to induction (DAMMIS)

Answer 1

Drugs
Airway equipment
Machine
Monitors
IV
Suction

Question 2

Indications for ETT placement

Answer 2

Airway contamination (full stomach, GERD, etc.)
Surgical need for MR
Difficult ETT or airway acess (postion, prone, etc.)
Surgery of mouth or face
Long procedure

Question 3

Phase 1 block

Answer 3

Sucs, depolarization leads to paralysis - inability for cholinesterase to chew up sucs

Question 4

Phase 2 Block

Answer 4

Sucs concentration exceeds the therapeutic level, desensitization occurs and myocyte is less sens. to Ach. Membrane repolarizes and cannot be depolarized again.

Question 5

What to check if EtCO2 is increased?

Answer 5

CO2 absorber
Increase minute ventilation (RR or Vt)
Hypermetabolic process

Question 6

What to check if EtCO2 is decreased?

Answer 6

Sudden vs. slowly
Decrease ventilation
Verify other signs of hypoperfusion

Question 7

What should EtC02 be at incision for spontaneously breathing patient?

Answer 7

over 45

Question 8

Increase in RR?

Answer 8

Increase ventilation (RR or Vt)
Deepen anesthetic
Administer analgesic

Question 9

How does the pulse oximeter work?

Answer 9

SeXy DARLing

at SiX hundred….wavelength DeoxyHb Absorbs Red Light

Question 10

MAC awake - The MAC necessary to prevent response to verbal/tactile stimulation

Answer 10

Volatiles: 0.3 MAC; N20: 0.6 MAC

Question 11

MAC BAR- The MAC necessary to blunt the autonomic response to a noxious stimulus

Answer 11

1.6 MAC

Question 12

MAC El- The MAC necessary to prevent laryngeal response to endotracheal intubation

Answer 12

1.3 MAC