Miscellaneous topics 8

Question 1

___ is the #1 cause of anesthetic mortality

Answer 1

Human error

Question 2

The most common causes of injury that result in claims filed is

Answer 2

regional anesthesia at 20%

Question 3

______________________ is the regulatory body that sets the standards for the required components of the anesthesia machine.

Answer 3

The American Society for Testing and Materials

Question 4

The standards document for the anesthesia machine is

Answer 4

ASTM F1850

Question 5

The ___________ sets the standards for compressed gas cylinders.

Answer 5

US Department of Transportation

Question 6

The ____________ sets the standards for acceptable occupational exposure to volatile anesthetics

Answer 6

Occupational Safety and Health Administration

Question 7

The ________sets the standards for foods and drugs

Answer 7

Food and Drug administration

Question 8

The FDA also created the

Answer 8

1993 FDA Anesthesia Machine Pre-Use checkout procedures

Question 9

THe ___________ certifies hospitals that meet specific safety standards

Answer 9

Joint Commission on Accreditation of Health Care Organizations

Question 10

_________ are NOT allowed in zone four of the MRI suite.

Answer 10

Ferromagnetic objects

Question 11

MRI safe metals include

Answer 11

stainless steel
titanium
aluminum
copper

Question 12

Tasks in the ASA Pre-Anesthesia checkout procedure recommendations that must be completed before every patient include

Answer 12

suction
monitors and alarms
vaporizers are filled and ports are closed
CO2 absorbent is not exhausted
perform a high-pressure leak test
assess the unidirectional valves
document that you have completed the procedures
set the vent appropriately and conduct anesthesia time out

Question 13

MRI safe gas cylinders are

Answer 13

silver with a color code at the top

Question 14

The EKG in MRI may experience

Answer 14

T wave and ST-segment artifacts

Question 15

______ is a common side effect of IV contrast media.

Answer 15

Nausea

Question 16

The patients should be screened for the following prior to going into MRI:

Answer 16

pacemaker
ICD
aneurysm clip
metal implant
implantable pump
shrapnel

Question 17

What is the estimated anesthetic mortality associated with ASA class 1?

Answer 17

0.04/10,000

Question 18

What is the estimated anesthetic mortality associated with ASA class 2?

Answer 18

0.5 deaths/10,000

Question 19

What is the estimated anesthetic mortality associated with ASA class 3?

Answer 19

2.7 deaths per 10,000

Question 20

What is the estimated anesthetic mortality associated with ASA class 4?

Answer 20

5.5 deaths per 10,000

Question 21

According to closed claims analysis, what are the 4 most common causes of injury (in order) that result in claims filed?

Answer 21

regional anesthesia (20%)
Respiratory event (17%)
cardiac event (13%)
equipment failure (10%)

Question 22

All of the following are assessed by the modified Aldrete scoring system EXCEPT:
a. quality of respiration
b. postoperative nausea and vomiting
c. oxygen saturation
d. level of consciousness

Answer 22

b. postoperative nausea and vomiting

Question 23

The modified Aldrete scoring system is used to quantify

Answer 23

readiness for discharge from the PACU

Question 24

Zero to two points are awarded for each activity in five areas for the modified Aldrete scoring system:

Answer 24

1. activity
2. respiration
3. circulation
4. consciousness
5. oxygen saturation

Question 25

A modified Aldrete score of ______ suggests readiness for discharge from PACU.

Answer 25

nine or greater