Taxonomy of Anesthesia Flashcards

1
Q

What are the five components of anesthesia?

A
Unconsciousness
Amnesia
Analgesia
Immobility
Attenuation to ANS response to noxious stimuli
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2
Q

What makes up the anesthetic triad?

A

Analgesia
Amnesia
Muscle relaxation
While maintaining normal physiological status of the patient

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3
Q

What are three types of anesthesia?

A

Monitored anestesia care (MAC)
General anesthesia
Regional anesthesia

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4
Q

What are the five types of regional anesthesia?

A
Topical
Infiltration
Peripheral nerve block
Plexus block
Central neuraxisblock (spinal and epidural)
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5
Q

What should be done for room preparation prior to each case?

A
FDA machine check
Suction-functioning
Monitors
OR table
Warming devices
Other equipment
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6
Q

What airway supplies are required for each case?

A

Laryngoscope with blades, ETT, stylet, LMA, face mask, oral airway (tongue blade), nasal airway (lube), ambu bag

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7
Q

What should be included when labeling a drug?

A

Drug name, concentration, date and initials

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8
Q

What are some common medication errors?

A

Administering muscle relaxant instead of reversal and misidentification of same color label

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9
Q

What factors should be included in an anesthesia care plan?

A
Choice of anesthesia, means of inducing 
Method of maintaining the airway/ventilation
Maintain anesthesia
Conduct emergence 
Control post op pain
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10
Q

What pneumonic can be used to complete a pre-op interview?

A
Allergies
Anesthesia Hx
Airway
Meals
Medications
Past medical history
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11
Q

What is the key component to a successful anesthesia care team?

A

Communication

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12
Q

What two factors should be used to develop the anesthetic plan?

A

Patient needs & surgical needs

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13
Q

What concerns should be addressed with the surgeon regarding the anesthetic plan?

A

Location, positioning and length of procedure

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14
Q

What is the purpose of preoxygenation?

A

To build up FRC and denitrogenation

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15
Q

What two methods can anesthesia be induced?

A

Inhalation or IV

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16
Q

Why shouldn’t we attempt to ventilate during a RSI?

A

May precipitate vomiting and aspiration

17
Q

What three drugs should be given during the maintenance phase of anesthesia?

A

Inhalation agents
IV agents (narcotics, benzos and muscle relaxants)
Fluids

18
Q

What is considered the maintenance phase of anesthesia?

A

Extends from induction of anesthesia until the end of surgery when the patient is ready to be awakened

19
Q

What components make up emergence of anesthesia?

A

Reversal
Extubation
PACU

20
Q

What are some causes of failure to emerge?

A
Residual NMBA
Excess opioids or benzos
Intraoperative CVA
Acidosis/Electrolyte
Hypothermia
Pre-exisiting pathology
21
Q

When does the CRNAs responsibility end?

A

Ends when the patient is safely handed off to a qualified PACU nurse