QUIZ 1 Flashcards
Which gas anesthetic does not work if power goes out?
Desflurane
What is the Pathway of 02 from wall to patient
gases > flowmeter > concentration - calibrated vaporizer (where gases are held) > common gas outlet (goes to circuit for Pt) > Patient Circuit
NO2 PSI and L in tank
745 psi and 1600L
Air PSI and L in tank
1800 psi and 600L
Oxygen PSI and L in tank
2200 psi and 660L
5 Tasks of O2 in the AGM
- supply fresh gas flow meter
- powers o2 flush
- Activates fail safe device
- Activates o2 low pressure alarm
- Compresses bellows
When you blow gases over someones face, mask not directly on face
insufflation
7 P’s
Prior proper preperation prevents piss poor performace
Glossopharyngeal neve innervates what?
posterior wall of pharynx
cervical location of oropharynx to soft palate to epiglottis
C2-C3
Cervical loaction of epiglottis to inferior cricoid cartilage
C5-C6
3 Single cartilages of Larynx
Thyroid, cricoid, Epiglottis
3 Paired cartilages of Larynx
Arytenoid, cuneiform, corniculate
Intrinsic muscles that alter the shape of the Larynx (3)
- Aryepiglottic
- Thyroepiglottic
- Oblique arytenoid
Abductors of VC (2)
- Posterior Cricoarytenoid
- Vocalis
Tensor of VC (and what Innervation)
Cricothyroid (external SLN)
Relaxer of VC
Thyroarytenoid
extrinsic muscle of Larynx: Elevator (9)
- Suprahyoid
- Thyrohyoid
- Stylopharyngeus
- palatopharyngeus
- salpingopharyngeus
- Geniohyoid
- Mylohyoid
- Stylohyoid
- digastric
extrinsic muscle of Larynx: Depressors (4)
- infrahyoid
- sternohyoid
- sternothyroid
- omohyoid
LEMON
- Look externally
- Evaluate 3-3-2
- Mallampati
- Obstruction/Obesity
- Neck Mobility
Mask ventilation: BONES
- Beard
- Obesity
- No Teeth
- Elderly (>55)
- Snoring
4 D’s of difficult airways
- Disproportion
- Distortion
- Dismobility
- Dentition
2 techniques of preoxygenation (denitrogenation)
- Tidal volume Breathing 100% o2 for 3-5 mins
- 4 deep breaths within 30 seconds
Standard I of anesthesia
Perform a thorough and complete pre-anesthesia evaluation
Practice FIshbone labs
GO PRACTICE
2 Disease that cause joint difficulty
- Ankylosing Spondylitis
- Rheumatoid Arthritis
What does Muscular Dystrophy have a high risk of?
Malignant Hyperthermia
What is an issue with Hx of seizures and anti-seizure medications?
- Increases MAC value and may need higher doses of meds
Time period of highest surgical risk after MI (whats recommended?)
30 days, recommend wait 60 days
what is greatest indicator of postop HF and death?
EF < 35%
What is greatest risk for non-cardiac surgery MI?
Aortic Stenosis
What cardiac meds DONT we want patients taking Preop?
Aces and ARBs
What do asthma patients have a high risk of?
Bronchospasm
What is most common cause of intraoperative Allergic reaction?
Rocuronium
Makeup use can increase what?
A tendancy to have a Rocuronium allergy
When can succynolcholine last 8-10 hours?
In Atypical pseudocholinesterase
