The Anesthetic Plan Flashcards
A pt can have a sip of water or liquid pre-med how soon before surgery?
1 hour
What size is a good emergency LMA and why?
Size 4 LMA because it should fit most people and an ETT can fit through it for intubation
If your pt is taking fish oil, you may be worried about
bleeding
Why are we concerned about weight loss products?
They may act in a similar manner to MAOIs
ASA Classification
I- normal, healthy patient with no systemic disease
II- mild to moderate systemic disease, well controlled, with no functional limitation
III- moderate to severe systemic disease with functional limitation
IV- Severe systemic disease that is a constant threat to life
V- Moribund patient who is not expected to survive with or without the surgical procedure
VI- brain-dead patient whose organs are being harvested for donation
E- emergency operation required
NPO Guidelines
1 hour- small sip of water or liquid medication 2 hours- clear liquids 4 hours- breast milk 6 hours- light meal 8 hours- heavy meal No candy or gum after MN
Remember that these may change depending on your pt condition (ex healthy vs obese)
Standard monitors:
Standard 1
Qualified anesthesia personnel shall be present in the room throughout the conduct of all general, regional, and MAC cases
Standard monitors:
Standard 2
During all anesthetics, the patient’s oxygenation, ventilation, circulation, and temperature shall be continually evaluated.
How do we monitor oxygenation?
O2 analyzer for inspired gases
Pulse-ox
Observation of the patient (pallor/cyanosis)
How do we monitor ventilation?
EtCO2
Breath sounds
Observation of the patient and reservoir bag
How do we monitor circulation?
Continuous EKG HR and BP Q5min Pulses Heart sounds Pulse plethysmography Pulse oximetry A-line tracing
According to the AANA, should care-plans be written for unexpected add-on cases?
Yes, they should be written after the procedure.
Learn the difficult algorithm, you bastard.
Fucking do it.
