Surgical Facilities & Basic Monitoring Equipment Flashcards

Question

Anesthesia machine

Answer 1

Delivers oxygen Delivers anesthetic gas Assists with ventilation Removes exhaled carbon dioxide

Answer 2

Monitoring prevents hypothermia and hyperthermia Monitored every 5 – 10 minutes until: Patient is in sternal recumbency Body temperature between 99F to 102F Rectal Thermometer vs. Esophageal Temperature Probe Over heating

Answer 3

Continuously monitors electrical activity of the heart Information about heartrate and rhythm Electrical signal is picked up by electrodes, amplified and displayed on a screen

Answer 4

Thin flexible tube attached to regular stethoscope Allows lungs and heart auscultation of draped patient Intubated patient

Answer 5

Systolic pressure Diastolic pressure Mean arterial pressure (MAP)

Answer 6

Arterial catheter connected to a monitor Blood pressure Heartrate and rhythm Gold standard for blood pressure measurement

Answer 7

Ultrasonic Doppler Method Occlude arterial blood flow by inflating a cuff Deflate the cuff until the blood flow goes back to normal When pressure in the cuff is just below systolic blood pressure, the blood flow can pass the cuff and is detected by the doppler probe Probe use ultrasonic waves to detect pulsatile blood flow or vessel wall motion and converts this to an audible signal = HEART RATE 40% is what we are aiming for

Answer 8

Systolic arterial pressure Diastolic arterial pressure Mean arterial pressure [MAP] -> most accurate on these machines Pulse rate

Answer 9

Non-invasive detection of arterial blood flow Commonly used Less accurate than Doppler or invasive blood pressure monitoring Various components lead to inaccuracies

Answer 10

Movement of thorax Movement of rebreathing bag Auscultation [esophageal vs. stethoscope] Condensation of ET tube Monitors Capnograph

Answer 11

Measure exhaled carbon dioxide in patient’s breath over time Can diagnose respiratory airway obstruction or leak in the ET tube cuff ETCO2 Measure respiratory rate

Answer 12

Non-invasive method of measuring the oxygen saturation of hemoglobin (SpO2) in arterial blood Provides pulse rate of patient Attached to the patient’s tongue, lip, ear (if not pigmented), paws, toes, and thin skin folds on extremities Can be easily affected

Answer 13

Always double check these values using traditional monitoring techniques Example: Check the monitor’s heart rate values versus what you actually hear using your stethoscope

Answer 14

Should take place in the preparation room Anesthesia/surgical prep area Surgery site is clipped with adequate margins for the procedure to be performed Usually performed under anesthesia Initial scrub Patient moved to the OR and then 3 additional scrubs performed

Answer 15

Reduce resident skin flora to prevent infection Achieve residual antiseptic activity It is NOT possible to completely sterilize the skin

Answer 16

Surgeon Assistant Surgeon [if needed] Anesthetist LVT

Answer 17

Pre-Operative Responsibilities Operative Responsibilities Post-Operative Responsibilities

Answer 18

Pre-Operative Responsibilities Operative Responsibilities Post-Operative Responsibilities

Answer 19

Pre-Operative Responsibilities Operative Responsibilities Post-Operative Responsibilities

Answer 20

Pre-Operative Responsibilities Operative Responsibilities Post-Operative Responsibilities

Answer 21

Know the case Review pathophysiology and basic of procedure Review possible complications of procedure Surgeon preparation Patient preparation TEAMWORK MAKES THE DREAM WORK!

Answer 22

Ovariohysterectomy [aka Spay] Neuter Mass Removals Laceration Repairs Cystotomy Gastrotomy

Answer 23

the surgeon cut something

Answer 24

the surgeon cut something out

Answer 25

The surgeon made an opening

Answer 26

the surgeon changed the shape of something

Answer 27

the surgeon moved the organ to the right place

Answer 28

the surgeon sewed something up

Answer 29

the surgeon made two things stick together