Stages & Planes Flashcards
1
Q
Define stage 1
A
Voluntary excitement
Runs from induction to loss of consciousness
2
Q
Stage 1 patient effects
A
Increase in pulse/RR/smooth muscle tone Pupillary dilation Vocalisation Salivation Uruination / defaecation
3
Q
Define stage 2
A
Involuntary excitement
Runs from loss of consciousness to rhythmic resp.
4
Q
Stage 2 patient effects
A
Irregular resp.; begins to settle Eyes wide open & ventromedial Pupillary dilation CNR present Brisk pedal reflex
5
Q
Stage 3, plane 1 suitable for…
A
Minor sx -
Stitch-up
Small mass excision
6
Q
Stage 3, plane 1 patient effects
A
Resp. Regular & deep Slight CV depression Nystagmus slows then ceases Third eyelid partially across Eyes ventromedial Brisk corneal reflex Slower palpebral reflex Absent limb movement Brisk pedal reflex
7
Q
Stage 3, plane 2 suitable for…
A
Most procedures
8
Q
Stage 3, plane 2 patient effects
A
HR & BP slightly reduced TV reduced Eyes ventromedial Pupillary constriction Palpebral sluggish, then ceases Corneal reflex present Muscles relaxed Pedal reflex sluggish, then ceases
9
Q
Stage 3, plane 3 suitable for…
A
All procedures
10
Q
Stage 3, plane 3 patient effects
A
HR & BP reduced RR & TV reduces Eyes open & central Pupillary dilation Pedal reflex lost
11
Q
Define stage 4
A
Overdose
Progressive resp. Failure -
Diaphragmatic function only
12
Q
Stage 4 patient effects
A
Pulse v.high or v.low Prolonged CRT & cyanosis Eyes open & central Pupillary dilation Dry cornea
