Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Anesthesia- Antiarrythmics > Basics Module 1 > Flashcards

Basics Module 1 Flashcards

1
Q

What is the number 1 cause of morbidity & mortality?

A

Airway Events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In a patient that has been put to sleep is now a difficult airway, what medication can you give to wake the patient?

A

Epi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What group of patients have less pliable lungs?

A

Old & Obese

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In the aging process, the airway becomes?

A

Less pliable, mobile, & flexible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

It becomes an airway emergency when you are unable to

A

Ventilate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How much water is needed to get chest rise?

A

20-25cm of water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A BMIn greater than____will cause a leak

A

50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens to the vocal cords when the patient is given a paralytic?

A

Vocal cords relax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Characteristics of a child’s epiglottis?

A

Shorter, stiffer, & white

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What connects the nasal & oral cavities?

A

The pharynx connects the nasal & oral cavities to the larynx & esophagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name order of pharynx from head to toe

A

Naso, Oro, & Hypo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the job of the larynx?

A

Prevent aspiration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The larynx is also called the…

A

Voicebox, located in the neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Name the innervation of the airway from head to toe

A

Trigeminal, Glossopharyngeal, Vagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The superior laryngeal nerve (internal) is…

A

Sensory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The superior laryngeal nerve (external) is…

A

Motor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The recurrent laryngeal nerve controls what?

A

Vocal Cords

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

BMI greater than____can cause airway difficulty

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is prognathic?

A

Extension/bulging of lower jaw

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is retrognathic?

A

Growth deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The ULBT assesses what?

A

Mobility of mandible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

A TMD_____is a cause of concern

A

Less than 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The 3-3-2 rules assesses what?

A

Mouth opening, tip of mentum to hyoid bone, &TMD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What 2 things should you not use with an LMA?

A

Aspiration risk & no MAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
How long does it take Roc to work?
3-5 min
26
Pressure control should be ____ to mask ventilate
Less than 20
27
Standard size oral airway for male & female?
M=6 F=5
28
What is the end tidal oxygen goal with pre-oxygenation?
Above 90% 8 breaths, 60 sec each 3 min of breathing 100% oxygen
29
Positioning aligns what?
The oral, pharyngeal & laryngeal axes (ramped up)
30
With repositioning, the ear should be level with the...
Sternal Notch
31
The sniffing position involves...
Flexing the neck and extending the head
32
A supraglottic Airway (SGA), is also known as...
An LMA
33
With placement of a SGA, where does the tip of the cuff sit?
The upper esophageal sphincter
34
How are the SGA sized?
By weight
35
What are the adult sizes for SGAs?
3,4, & 5
36
What are the PED size SGAs?
0, 1,2, & 2.5
37
What amount of pressure will seal a SGA?
A pressure less than 20cm of H2O
38
What body weight should be used when sizing a SGA?
Ideal body weight
39
SGAs are good for...
Reactive Airway Less Stimulating Smoother wakeup Less coughing Less trauma Does not require paralysis
40
SGAs do not protect against...
Aspiration
41
What are LMA complications?
Sore Throat Bronchospasm Edema Nerve Injury Tongue numbness Aspiration risk
42
What is the most common method of intubation?
Direct Laryngoscopy (DL)
43
The table height should be where?
At your xiphoid
44
Using the Cormack & Lehane classification, a grade 1 view means...
Full view of the glottis
45
RAEs tubes are used when?
For eye & face cases (this type of tube is bent in half)
46
The Murphys eye is only seen in...
Adult population
47
Reinforced tubes...
Do not kink
48
When should you perform a rapid sequence induction?
Patient is vomiting, has uncontrolled GERD, or has a full stomach
49
Do you ventilated during RSI?
NOO
50
Is the glidescope good in PEDs population?
NOO
51
When is the VL useful?
Routinely Difficult airway Improves first attempt In patients w/ limited ROM Can be further away from patient
52
When using a glidescope for adults & children, should you sweep the tongue?
NOO
53
Which blade should you use in VL?
D blade
54
Do you need the 3 patient alignment when using a VL?
NOO
55
Can you jet ventilate through the Cook Exchange?
YES
56
How do you check placement of the Cook Exchange?
Perform a laryngoscopy during procedure
57
When should an awake fiberoptic be used?
If there is an unstable spine Difficult airway
58
Fiberoptic allows for__________ and_______
Preservation of muscle tone & airway reflexes
59
What is easier? Nasal or Oral fiberoptic?
Nasal, but caution with bleeding risk of oral passage
60
What can be used to prep the nasal passage of a patient getting ready for a fiberoptic?
Give Oxymetazoline (Affrini) Glyco for secretions
61
What is the maximum dose of lidocaine?
7mg/kg
62
What 2 blocks can be performed to initiate intubation?
Superior Laryngeal Block (bilaterally) Transtracheal Block
63
What are 4 types of invasive Airways?
Trach Crico Retrograde Transtracheal Jet Ventilation
64
When is it appropriate to extubate?
Spontaneous breathing Stability Norm acid/base balance NMB is reversed Extubating off 100% FIO2
65
When is deep extubation performed?
During Stage 3
66
What are the benefits of extubating during stage 3?
Less coughing Fewer hemodynamic changes Avoids bleeding, increased ICP/IOP
67
When should you not deep extubate?
Morbid obese Difficult Mask Risk of Aspiration Airway edema OSA Restricted access to the airway
68
Laryngoscopy can be...
Stimulating
69
What is the most common cause of death iin securing the airway?
Aspirationo
70
If you suspect an esophageal intubation, you can check...
BBS & ETCO2
71
Airway complication are mostly related to...
Bronchospasm, Laryngospasm, and Pulmonary Edema
72
What causes subglottic stenosis?
High cuff pressure
73
How can you treat pulmonary edema?
Sit the patient up and give 100%
74
How can you tell a laryngospasm is happening?
Rigid ABD Trying to take a breath
75
Who is more prone to laryngospasms?
Infants & children (they go in and out of stage II frequently)
76
How can you treat laryngospams?
Positive Pressure Paralyze Supportive Care Mask/Oral airway May give versed if partially awake
77
In PEDs, what is the narrowest part of the airway?
Cricoid Cartilage
78
What are the characteristics of a child's airway anatomy?
More Anterior Large Tongue Epiglottis is large & omega shaped Stiff or floppy Larger head Usually have more loose teeth
79
Do PEDs have a higher metabolic rate?
YES
80
What is the oral dosage of versed for a PED patient?
0.5-1mg/kg (20mg max)
81
In PEDs, what dose of Ketamine can you give IM?
3mg/kg & add glyco or versed
82
What medication can you give intranasally to Peds?
Precedex
83
What do Peds usually get for induction?
Mask induction with N2O & Sevo
84
How do you calculate ETT size?
(Age/4) + 4 OR (Age+16)/4
85
Which ETT is preferred in Peds?
Microcuff (there is no Murphy's eye)
86
Microcuffs have...
Low volume & low pressure cuff
87
When extubating in the Peds population, they are at a higher risk for...
Stridor
88
How is stridor treated?
Humidified Oxygen Steroids Racemic Epi
89
You can give Sux or Atropine IV to help treat a laryngospasm. What is the dose?
Sux 1.5-2mg/kg Atropine 0.02mg/kg IM
90
In Peds, if you have an IV, how can you treat a laryngospasm?
Deepen with Propofol
91
What difficult airway devices are available for Peds?
look up
92
Depth of
Ett??
93
Note Calculations
...
94
To prevent gag reflex, which nerve must be blocked?
Superior Laryngeal Nerve Internal branch

Anesthesia- Antiarrythmics (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions