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COMP 9 > Anesthesia Consultation II > Flashcards

Anesthesia Consultation II Flashcards

1
Q

What questions are asked during the HEENT portion of the anesthesia consult?

A

Any loose teeth?
Broken teeth?
Caps?
Dentures (upper/lower)?
Partials?
If dentures or removable partials
Loose or broken-document tooth #
Contact lenses?
Glasses?
Hearing aids?

Note: Ask the patient to remove anything removeable.

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2
Q

What questions do you ask during the respiratory portion of the consult?

A

Ever Smoke?
Packs per day?
How many years?
Quit?
COPD?
Bronchitis?
Pneumonia?
TB?
Asthma?
URI? (upper respiratory infection)

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3
Q

What questions do you ask during the cardiovascular portion of the consult?

A

Chest pain?
Palpitations?
Heart Valve disease?
Murmur?
HTN?
Myocardial infarction?
Shortness of breath?
Exercise tolerance?

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4
Q

What are the adverse effects of smoking relating to cardiovascular and pulmonary systems? (4)

A

decreases cardiac output

decreases oxygen delivery

increases amount of mucus secreted

small airways narrow and are more prone to collapse

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5
Q

What MET does this describe:

Can you eat, dress, or use the toilet?

A

1 MET

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6
Q

What MET does this describe:

Can you walk indoors around the house?

A

2 MET

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7
Q

What MET does this describe:

Walk one or two blocks on level ground at 2 to 3 mph?

A

3 MET

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8
Q

What MET does this describe:

Do light work around the house, such as dusting or washing dishes?

A

4 METs

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9
Q

What MET does this describe:

Participate in strenuous sports, such as swimming, singles, tennis, football, basketball, or skiing?

A

10 METS

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10
Q

What questions do you ask during the GI/GU portion of the consult?

A

Hiatal hernia?
Reflux?
Ulcers?
Liver Disease?
Bleeding problems? Sickle cell?
Kidney disease?
Menstruating? LMP?

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11
Q

What questions do you ask during the endocrine portion of the consult?

A

Diabetes:
Type I ?
Type II ?
Insulin dependent ?
Deficits: Nephropathy, Neuropathy?
Retinopathy?
Thyroid Disease:
Hypothyroidism
Hyperthyroidism
Treatments/surgeries

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12
Q

What is the more severe form of arthritis–rheumatoid or osteoarthritis?

A

rheumatoid arthritis

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13
Q

What form of arthritis is caused by wear and tear on the body–rheumatoid or osteoarthritis?

A

osteoarthritis

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14
Q

What form of arthritis can affect people of any age, but most commonly affects those between 20-30 y/o–rheumatoid or osteoarthritis?

A

rheumatoid arthritis

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15
Q

What form of arthritis:

Symptoms can be felt throughout the entire body
Affects more women than men

A

rheumatoid arthritis

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16
Q

What form of arthritis:

Usually only affects the joints
Commonly found in both men and women

A

osteoarthritis

17
Q

What questions do you ask during the neuro portion of the consult?

A

Seizures?
Stroke?
TIA?
Neuromuscular disease?

18
Q

Do we ask about psychiatric issues within the anesthesia consult?

A

Yes

Conditions?
Severity?
Hospitalizations?
Suicide attempts?
Treatments?

19
Q

What are the specific signs of MH? (5)

A

Muscle rigidity

Rapidly increasing expired carbon dioxide

Rapidly developing fever (late sign)

Cola-colored urine (myoglobinemia–late sign)

Increased serum creatine phosphate (late sign)

20
Q

People who have psudocholinesterase deficiency may be sensitive to certain anesthetic drugs, including succinylcholine and what 2 other drugs in particular?

A

Mivacurium

Ester local anesthetics

21
Q

What do we document when assessing allergies? (3)

A

Allergen

Medications the patient is allergic to

Allergic reaction

22
Q

What do we document pertaining to surgical history? (3)

A

Type of surgery and year performed

Type of anesthesia

Complications

23
Q

What does “RRR no m,r,g” mean?

A

Regular rate and rhythm no murmurs, rubs, or gallops

24
Q

Within the “Problem List” portion of the anesthesia exam, do you include surgeries?

A

No, they have their own section.

25
Q

Do anesthetists assign an ASA status?

A

No

26
Q

What does “Plan” mean within the anesthesia consult?

A

General LMA or ETT, or regional, MAC

COMP 9 (10 decks)

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