Taxonomy Flashcards
What are the components of anesthesia?
Amnesia, analgesia, areflexia
What is MAC?
used for therapeutic or diagnostic procedures alone or in combination w/local/regional anesthetic
- more rapid recovery*
- requires an anesthesia provider*
- loss of protective reflexes/consciousness is likely, but usually pt can protect own airway
What is general anesthesia?
unarousable, may impair CV function
patient unable to protect airway
Premedication goals (10)
anxiolysis, allergy, analgesia, amnesia, antisialoguge, antiemetic, antimicrobial, increase gastric fluid pH, decrease gastric volume, sedation
What patients need a RSI? (5)
violated NPO status, obesity, pregnancy, cirrhosis, GI pathology (GERD, bowel obstruction, gastroparesis)
What standard is the anesthesia plan implementation?
Standard 7
What standard is documentation?
Standard 5
Failure to emerge (7)
Residual blockade Excessive opioid/benzodiazepine Intraoperative CV Pre-existing pathophysiologies (CNS, hepatic, ETOH) Electrolyte abnormalities Acidosis Hypothermia
PACU report
history, procedure, anesthetic, intraoperative course, fluid status (EBL, I&O)
What drugs are used during MAC?
anxiolytics, hypnotics, analgesics, amnestics
What is conscious sedation?
maintains adequate CV/R function
maintains the ability to purposefully respond to verbal/tactile stimulation
lighter level of sedation than MAC
does not require qualified anesthesia provider*
What drugs are used during MAC?
anxiolytics (versed)
analgesics (fentanyl or remifentanil)
amnestics/sedative hypnotic (propofol)
local anesthetics (block)
MAC considerations
patient must be able to cooperate, consider the ease of the airway & access to the airway
MAC Monitors
ABP, ETCO2, EKG, SpO2 (required)
precordial stethoscope, temp, capnography, BIS (additional)
When do you have to have ETCO2?
Moderate or deep sedation
