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Flashcards in anasthesia Deck (29):
1

who can give anesthetic in ont

1. royal college
2. fam+1
3. anesthesia assitant

2

def ana

not just putting someone to sleep
- eliminating senses - mostly pain

3

3 steps to approach to ana

1. pre-op assessment
2. optimized?
- if not, postpone
- if so, consider surg. issues
3. plan ana

4

4 core parts to pre-op assessment

1. hx, Px, possible investigations
2. assess meds/allergies
3. assess comorbidiites
4. assess if medica l staus is optimized

5

possible options after assessment

- surg
- futher investigations
- alter plan
- delay
- cancel surg

6

9 parts of planning ana

1. type
2. pre-meds
3. monitors
4. airway mgmt
5. induction of ana
6. maintenance
7. emergence
8. pain mgmt
9. postop dispostion

7

5 types of ana

1. local
2. regional
3. monitored
4. general
5. some combo

8

4 types of regional

1. nerve blocks
2. indiv. nerve
3. plexus
4. spinal

9

what is monitored care

sedation - IV benzo, opiods

10

2 parts of pre-meds

1. usual meds- they keep taking
2. anxiolysis

11

2 types of monitors

1. usual - BP, O2, ECG, temp
2. special - arterial, central vein

12

4 issues with airway magmt

1. intubate?
2. asleep or awake intubation
3. scopes?
4. type pf tube

13

3 types of post op pain mgmt

1. opiods
2. nerve block
3. local

14

4 options for after

1. home
2. ward
3. step down
4. ICU

15

5 effects of general

1. amesia
2. anathesia (lack of awareness)
3. analgesia
4. areflexia (paralysis)
5. autonomic blunting

16

keys to amnesia

1. benzos
- antegrade
- anxiolytic as well

17

2 keys to sleep

1. induction
- propofol
2. maintenance
- vapors

18

5 types of anastheis

1. opiods
2. NSAIDS
3. aceto
4. local
5. regional

19

3 reasons to paralyse

1. facilitates intubation
2. can help with some surg
3. prevent patient movement

20

what does pt movement no indicate

lack of muscle relaxants
- means inadequate anasthesia or analgesia

21

2 types of muscle relaxants and MOA

1. reversiable - Ach-r antagonists
2. irrerversible - bind t o acr and cause depolarization

22

probs with irreversible

lasts at least 10 minutes and that might be too long

23

why blunt auto relaxes

certain stim can jack HR and BP - can cause problems if have CAD

24

2 types of meds to blunt autp

1. short acting - opiods
2. long acting - b-blockers

25

2 main areas of SE

1. resp
2. CV

26

3 rest related SE

1. aspiration
2. airways obstruction
3. resp depression

27

key points about malignant hyperthemia

- pharmocogenic
- can happen after multiple times being fine
- triggered by succcylcholine or vapors
- due to loss of intracellular control of Ca
- ssevere reaction

28

6 effects of MH

1. hypermetabolic state
2. acidosis
3. hemodynamic instability
4. skeletal muscle rigitiy
5. rhabdo
6. acute renal failure

29

see case

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