surgery : intra-op

Question 1

what is a main difference between a spinal anesthetic and epidural?

Answer 1

spinal is a one-time injection, epi has a catheter and can perform continuous drug delivery

Question 2

what rare but life threatening condition can be triggered by anesthetic during surgery?

Answer 2

malignant hyperthermia

Question 3

how do we treat malignant hyperthermia?

Answer 3

dantraline sodium and cool the patient

Question 4

what makes someone at risk for malignant hyperthermia? how do we assess for this?

Answer 4

genetics- family hx

Question 5

what is the “count’ in a surgery?

Answer 5

when the scrub nurse and circulating nurses count the number of instruments, sponges, etc at the ready before surgery, and then count after surgery to make sure number is the same (nothing was left inside the pt)

Question 6

what kind of anesthesia requires intubation?

Answer 6

general anesthesia (sedation with propofol and inhalation agents)

Question 7

a spinal is usually done below ___

Answer 7

L2

Question 8

potential complications of spinal/epidural - select correct (this or that?)
hypotension/hypertension
pruritis/rhinitis
urinary retention/urinary incontinence
N&V/diarrhea

Answer 8

hypo
pruritis
retention
n&v

Question 9

what are two unique side effects of spinal.epidural?

Answer 9

epidural hematoma, spinal headache

Question 10

what drugs are usually used for IV sedation?

Answer 10

midazolam and fentanyl