Flashcards in Anesthesia Part IV Deck (35):
What is the reversal agent for Opioids?
What is the reversal agent for Benzodiazepenes?
Is laughing a symptom of Ideal sedation with Nitrous?
Is there Nitrous Dependence?
Initial Signs of Early/Ideal sedation: Breathing:
Decreased muscle tone:
Drop in BP:
NO (not initially)
When we give Nitrous to pts they should be...
Conscious and Responsive
Oxygen is what color?
Nitrous is what color?
Oxygen is on the?
Nitrous is on the?
If pt is nauseous, uncomfortable, on Nitrous, you should...
You should not...
2 demographics that aren't a good candidate for sedation:
*other than that wide open
If a pt is undergoing conscious sedation, do we see a change in vitals?
Breathing faster, more shallow:
yes, whole point
No (breathing pattern wouldn't change much, if anything would go the other way)
Why is Shivering a complication of Nitrous administration?
*lose heat, get cold, start shivering
Other than fear, what is a protective response to pain?
Do physical attributes like height and weight influence pain experience?
*expectations, attitudes, learned responses, age, personality, and genetics do
What type of Nociceptors do we have?
What would be a good example of Neuropathic Pain?
What is something we can do to help pts handle anxiety and fear?
prepare, rehearse, empower, praise
What does PREP stand for?
What are we facilitating/changing when we give a pt medications for post-op pain?
Gate Theory - what fibers close the gate?
(c fibers small, dull)
Nitrous is a selective CNS depressant
Nitrous is the wimp of all inhaled drugs
What sedative drug is only available for oral administration?
This is what class of drug?
What are 4 different ways to administer sedation?
What is the capacity (in Liters) for the e-cylinder for Oxygen?
If the tank is 1/2 full, how much do we have?
*x number of liters/min, can figure out how long we can run oxygen if we know this number
What type of Flowmeters do we see on our Nitrous Units?
Benzodiazepenes are _____ drugs only and don't provide _______
Small, incremental doses of a drug until desired clinical effect is observed
Titration is the ____ dose of a drug until _____ is observed
desired clinical effect
When we administer Nitrous, what do we begin and end the procedure with?
If you reach the max dose, what then?
Nothing - failure
With the units we use, what is the Maximum amount of Nitrous we can administer?
If the Nitrous tank is 35% empty (65% full), what is the PSI?
The Oxygen Unit is _____ PSI when full
The Nitrous Unit is _____ PSI when full
PSI remains constant until it is _____ full
You can administer Nitrous if you don't have Oxygen available
*need oxygen - it is the fail safe built into the system
How much Oxygen is in the E-Cylinder when full?
*we'll have to figure something out with this number
*most likely how long until empty with a Flow Rate
What is the Primary function of the Reservoir Bag?
Respiratory effort is also seen and from this we can determine the...
Additional volume for deep breathing
Flow Rate (e.g. 6 Liters)