Anesthesia Plan/ HIPPA Flashcards Preview

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Flashcards in Anesthesia Plan/ HIPPA Deck (11):
1

A pt can have a sip of water or liquid pre-med how soon before surgery?

1 hour

2

What size is a good emergency LMA and why?

Size 4 LMA because it should fit most people and an ETT can fit through it for intubation

3

ASA Classifications

  • Class I- normal, healthy patient with no systemic disease
  • Class II- mild to moderate systemic disease, well controlled, with no functional limitation
  • Class III- moderate to severe systemic disease with functional limitation
  • Class IV- Severe systemic disease that is a constant threat to life
  • Class V- Moribund patient who is not expected to survive with or without the surgical procedure
  • Class VI- brain-dead patient whose organs are being procured for donation
  • E- emergency operation required

4

NPO Guidelines

  • 1 hour- small sip of water or liquid medication
  • 2 hours- clear liquids
  • 4 hours- breast milk
  • 6 hours- light meal
  • 8 hours- heavy meal No candy or gum after MN Remember that these may change depending on your pt condition (ex healthy vs obese)

5

Standard monitors: Standard 1

Qualified anesthesia personnel shall be present in the room throughout the conduct of all

  • general, regional, and MAC cases

6

Standard monitors: Standard 2

During all anesthetics: must monitor continuously the patient's:

  • oxygenation
  • ventilation
  • circulation
  • temperature

7

How do we monitor oxygenation?

  • O2 analyzer for inspired gases
  • Pulse-ox
  • Observation of the patient (pallor/cyanosis)

8

How do we monitor ventilation?

  • EtCO2 
  • Breath sounds
  • Observation of the patient and reservoir bag

9

How do we monitor circulation?

  1. Continuous EKG HR and BP Q5min (no?)
  2. Pulses
  3. Heart sounds
  4. Pulse plethysmography
  5. Pulse oximetry
  6. A-line tracing

10

According to the AANA, should care-plans be written for unexpected add-on cases?

Yes, they should be written after the procedure.

11

Learn the difficult algorithm, you bastard.

Fucking do it.