The Anesthetic Plan Flashcards
1
Q
A pt can have a sip of water or liquid pre-med how soon before surgery?
A
1 hour
2
Q
What size is a good emergency LMA and why?
A
Size 4 LMA because it should fit most people and an ETT can fit through it for intubation
3
Q
ASA Classifications
A
- Class I- normal, healthy patient with no systemic disease
- Class II- mild to moderate systemic disease, well controlled, with no functional limitation
- Class III- moderate to severe systemic disease with functional limitation
- Class IV- Severe systemic disease that is a constant threat to life
- Class V- Moribund patient who is not expected to survive with or without the surgical procedure
- Class VI- brain-dead patient whose organs are being procured for donation
- E- emergency operation required
4
Q
NPO Guidelines
A
- 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)
5
Q
Standard monitors: Standard 1
A
Qualified anesthesia personnel shall be present in the room throughout the conduct of all
- general, regional, and MAC cases
6
Q
Standard monitors: Standard 2
A
During all anesthetics: must monitor continuously the patient’s:
- oxygenation
- ventilation
- circulation
- temperature
7
Q
How do we monitor oxygenation?
A
- O2 analyzer for inspired gases
- Pulse-ox
- Observation of the patient (pallor/cyanosis)
8
Q
How do we monitor ventilation?
A
- EtCO2
- Breath sounds
- Observation of the patient and reservoir bag
9
Q
How do we monitor circulation?
A
- Continuous EKG HR and BP Q5min (no?)
- Pulses
- Heart sounds
- Pulse plethysmography
- Pulse oximetry
- A-line tracing
10
Q
According to the AANA, should care-plans be written for unexpected add-on cases?
A
Yes, they should be written after the procedure.
11
Q
Learn the difficult algorithm, you bastard.
A
Fucking do it.
