Week 4 notes

Question 1

What are the homeotstatic mechanisms?

Answer 1

HR, heart rhythm, RR, respiratory depth, MM color, CRT, pulse strength, BP, temp

Question 2

What are the involuntary reflexes?

Answer 2

eye blink, kick, pulling back

Question 3

what are the reflexes we look at during anesthesia?

Answer 3

palpebral, corneal, pedal, swallowing, laryngeal, pupillary light.

Question 4

What are some other indicators we look at while the patient is under?

Answer 4

spontaneous movement, eye position, pupil size, muscle tone, nystagmus, salivary, lacrimal secretions, response to surgical stimuli

Question 5

What are the four stages of anesthetic depth?

Answer 5

stage 1- period of voluntary movement
stage 2- period of involuntary movement (excitement phase)
stage 3- period of surgical anesthesia
stage 4- stage of anesthetic over dose

Question 6

What are the 4 planes of stage 3?

Answer 6

plane 1- inadequate to perform surgery
plane 2- suitable for most surgical procedures
plane 3- excessively deep
plane 4- anesthetic overdose

Question 7

How can you monitor HR?

Answer 7

palpation, stethoscope, esophageal stethoscope, electrocardiography, BP monitor (Doppler or oscillometric)

Question 8

What is a normal sinus arrhythmia?

Answer 8

the distance between each heart beat is approx. equal

Question 9

What is a sinus arrhythmia?

Answer 9

HR decreases during expiration and increases during inspiration.