Anesthesia

Question 1

Pre-op visit function

Answer 1

relieve fear/anxiety

mental/physical condition

informed consent

Question 2

Cancel procedure (3)

Answer 2

prolonged clotting time

cold

infection (teeth/gums)

Question 3

Cricoid pressure

Answer 3

Selleck’s maneuver

reduce aspiration rate

thumb + index finger in a V on cricoid cartilage

before intubation

Question 4

Opiate/opioids

Answer 4

narcotics classified as analgesics

sedation

morphine sulfate

meperidine/Demerol

Question 5

ET tube

Answer 5

in nose or mouth between vocal cords into trachea

polyvinylchloride, rubber, or silicone impregnated metal for laser

measured in mm

Question 6

No trachea protection

Answer 6

need functioning epiglottis

apply cricoid pressure, LMA, cuffed ET

may enter bronchial tree –> chemical pneumonitis –> bacterial infection

Question 7

Anticholinergics

Answer 7

atropine or glycopyrolate

prevent bradycardia in pediatrics

control secretions

control cardiac reflex

Question 8

Risk of aspiration

Answer 8

neuromuscular blockade relaxes

cardiac sphincter causing patient to vomit into esophagus

Question 9

Local anesthesia

Answer 9

local infiltration

prolong by adding epinephrine (adrenaline)

Question 10

Pre-op NPO?

Answer 10

6-8 hours

vomit/aspirate gastric contents

Question 11

Anesthesia consent (4)

Answer 11

permission

risks

complications

alternatives

Question 12

Why do we use an IV?

Answer 12

emergency drugs

prevent dehydration

maintain blood volume

Question 13

No LMA in __ position

Answer 13

prone

Question 14

Last sense to go?

Answer 14

hearing

Question 15

Likely time for cardiac/respiratory arrest?

Answer 15

induction phase

Question 16

Why do we tape eyes shut?

Answer 16

prevent corneal abrasion

Question 17

Surg tech’s job if cardiac arrest…

Answer 17

remain sterile and protect the sterile field

Question 18

Dark blood?

Answer 18

hypoxia

Question 19

Who is responsible for the care of the patient?

Answer 19

everyone

Question 20

Balanced anesthesia

Answer 20

combination of IV and inhalation agents to achieve the appropriate level of anesthesia

Question 21

Suction should __

Answer 21

always be available

Question 22

Malignant hypothermia

Answer 22

children/adolescents

certain anesthetic agents

genetically transmitted, males

Dantrolene sodium, skeletal muscle relaxant

Question 23

Treat allergies with…

Answer 23

antihistamines

Question 24

Shock

Answer 24

significant blood loss

blood type O in emergency

Question 25

Induced hypothermia

Answer 25

reduction in body metabolism reduction in oxygen and glucose consumption and waste production

Question 26

Spinal block

Answer 26

intrathecal block injection into CSF in subarachnoid space between meningeal layers loss of sensation to body below diaphragm fine gague 3in. needle through L2-L3 or L3-L4 BELOW L2

Question 27

Epidural

Answer 27

above dura mater

Question 28

Oxygen supply, nitrous oxide, air colors

Answer 28

green blue yellow

Question 29

Laser laryngoscopy

Answer 29

cuff of ET tube methylene blue indicator fire from laser and anesthetic gases

Question 30

When positioning an anesthetized patient...

Answer 30

permission from anesthesia minimum of 4 people

Question 31

Bier block

Answer 31

effects distal upper extremity large volume low concentration into vein below tourniquet double cuffed tournique on upper arm esmarch bandage proximal cuff inflated cuff contains drugs

Question 32

Induced hypotension

Answer 32

decrease bleeding and overall blood loss increase visibility

Question 33

Amnesic

Answer 33

loss of memory sleep, hypnosis

Question 34

Analgesic

Answer 34

reduced pain

Question 35

Anesthetic

Answer 35

produce anesthesia abolish all sensation

Question 36

Anesthesiologist

Answer 36

4 years after med school

Question 37

Anesthetist

Answer 37

nurse anesthetist BS science, nursing 1 yr. critical care before 2 yr. program

Question 38

Antiemetic

Answer 38

prevent vomiting

Question 39

Bolus

Answer 39

IV all at once

Question 40

General anesthesia

Answer 40

reversible unconscious state

Question 41

Extubation

Answer 41

remove intubation tube

Question 42

Fasciculation

Answer 42

muscle movement under skin not joint

Question 43

Hypnotic

Answer 43

induce sleep

Question 44

Narcotic antagonist

Answer 44

Narcan reverses opioids

Question 45

Sedative

Answer 45

quieting/soothing

Question 46

Tranquilizer

Answer 46

reduce anxiety/tension

Question 47

Vasoconstrictor

Answer 47

narrows the walls of arteries increase BP adrenergic, epinephrine

Question 48

Crash induction

Answer 48

cricoid pressure

Question 49

Not used for nerve block

Answer 49

cryo

Question 50

Spinal agent

Answer 50

lidocaine

Question 51

Anesthetic absorbed in nerve conduction effects

Answer 51

blocks nerve sheath

Question 52

Amino amide is not...

Answer 52

cocaine

Question 53

Airways

Answer 53

oral or nasal face mask laryngeal mask airway endotrachial tube