Taxonomy & MAC Flashcards
1
Q
Anesthesia
A
Greek
Lack of sensation
2
Q
Three A’s
A
Amnesia
Analgesia
Areflexia
3
Q
General
A
Total unconsciousness
Inhalation or IV induction
Volatile anesthetics or TIVA
4
Q
Regional
A
Specific to body region
Block w/ infusion
Central neuraxial blocks - spinal or epidural
5
Q
IV Sedation
A
MAC
Comfortable & sleepy
Able to maintain breathing
6
Q
DAMITS
A
Drugs Airway Machine/Monitors/Masks IV supplies Tape/Tubes/Temp SUCTION Other
7
Q
DAMITS Drugs
A
Induction:
- Versed 1mg/mL
- Fentanyl 50mcg/mL
- Lidocaine 2% 20mg/mL
- Propofol 10mg/mL
- Etomidate
- Ketamine
- Rocuronium 10mg/mL
Volatile anesthetics
Anti-emetics
Emergency: - Phenylephrine* 80-100mcg/mL (10/20cc) - Ephedrine* 5mg/mL (5/10cc) - Atropine 1mg/mL (3cc) - Glycopyrrolate 0.2mg/mL (3cc) - Succinylcholine 20mg/mL (10cc) *Laryngospasm Reversal: - Neostigmine - Sugammadex
*Label syringes prior to drawing up meds
Name, concentration, date, time, & initials
8
Q
DAMITS Airway
A
Laryngoscope handles & blades x2 each MAC & Miller *Check/replace lightbulbs or batteries Water-soluble lubricant Tongue blade 4x4s Various size oral/nasal airways x2 Soft bite block Appropriate patient size ETT 7.0/7.5/8.0 LMAs 3/4/5 Check cuff - 10cc syringe to inflate Stylet Face mask AMBU bag Video laryngoscope (back-up airway) Bougie or adjuncts Difficult airway & malignant hyperthermia carts
9
Q
Machine/Monitors/Masks
A
Anesthesia gas machine check EKG, BP cuff, Pox, ETCO2 Peripheral nerve stimulator Set appropriate alarms Calibration Appropriate size mask - Simple face mask, non-rebreather, or NC Transport tank w/ O2
10
Q
DAMITS IV
A
Alcohol, tourniquet, catheter, tape/tegaderm Stopcock(s) Lidocaine syringe IV fluids & warmer Arterial line - Pressure bag Blood tubing Place 2nd IV after induction Verify IV patent & easily accessible
11
Q
Tape/Tubes/Temp
A
Wipe machine down prior to placing tape on surface Pre-tear tape w/ tab (easier to find edge) - Eyes - Secure ETT/LMA *Ask preceptor tape preferences OG/NG Temp probe - esophageal (core) or skin Bair hugger
12
Q
SUCTION
A
ON HIGH @ HOB
13
Q
DAMITS Other
A
Clamps Stethoscope- precordial Peripheral nerve stimulator Bair hugger & fluid warmer Eye protection/face shield Laryngotracheal topicalization anesthesia LTA BIS (bispectral index) monitor Wire cutters
14
Q
Induction
A
Attach monitors SUCTION Pre-oxygenate/de-nitrogenate Time out Fentanyl & Lidocaine Sweep monitors Place nerve stimulator Adjust bed height Fit for anesthesia Ensure everything w/in reach Induction medications Confirm unconscious - check lash reflex Baseline TOF Paralytic (standard) Bag-mask ventilate Tape eyes Re-check TOF INTUBATE
15
Q
Adequate Ventilation S/S
A
Bilateral breath sounds
Chest rise & fall
Fogging/condensation in mask or ETT
Continuous ETCO2
