Anaesthesia 3 Flashcards
(32 cards)
How many stages of anaesthesia
4
stage 1 of anaesthesia
Voluntary Excitement
Induction to unconsciousness
* Fear, stress and apprehension
* Increase in respiratory and heart rate
Stage 2 of anaesthesia
Involuntary Excitement
* Unconsciousness to unexcited and stable respiration
* Howling
* All reflexes still present
* Eyes open and central
* Pupils dilated
Stage 3 Plane 1(light) of anaesthesia
-HR slightly reduced and regular
-Pulse rate slightly reduced, strong and regular
-Some jaw tone
Stage 3 Plane II (medium)
-HR is regular/slightly reduced
-Pulse rate strong and regular
- relaxed
- Palpebral reflex slow/absent
- Pedal reflex slow/absent
- Corneal reflex is present
-eye slightly ventrally
- pupil constricted
Stage 3 (plane 3) Deep
-HR/BP reduced further.
BP weak
Decrease in tidal volume
-Only corneal reflex still present
-Eye centrally fixed
No Muscle tone
Stage IV
Overdose
Gas Cylinders Oxygen colour
- Black cylinder body and white
top - White pipelines
Gas cylinders N20 colour
- Blue cylinder and pipelines
- Carbon dioxide cylinder colour
grey
Gas Cylinders size range
- AA – smallest
- J – largest
Pin Index system
Prevents the wrong cylinders
being attached
Pin holes on cylinder and yoke
Bodock Seals
placed between the machine and the pin index
system to create an air tight seal
Schrader Probe
Used to connect to pipeline outlet
Pressure gauge
Amount of gas left in cylinder or
pipeline
Full oxygen cylinder measurement
137 BAR
Half full oxygen cylinder measurement
68 bar
Calculating N2O levels calculation
N2O L= (Weight full kg- weight empty kg) x 534 L/kg
Pressure-Reducing Valve (regulators)
Maintains constant pressure, Preventing surges in pressure
reaching the patient
Flowmeters which side is oxygen on
the left flowmeter is
oxygen
Common gas outlet
- Gases leave anaesthetic machine
- Entering the breathing system
Over pressure valve
Opens if pressure at common gas outlet is too high
Boyle’s Bottle
vapouriser
How does a boyles bottle work
Gas drawn over vaporiser by
patient’s respiratory effort