intraoperative

Question 1

unrestricted area

Answer 1

• street clothes permissible
• holding area staff lounge, nurses station

Question 2

semi-restricted area

Answer 2

• some hallways going in and around surgical suite
• scrubs on, hair covered

Question 3

restricted area

Answer 3

• scrubs on, hair covered, mask on
• operating room, scrub sink, supply areas that go into OR

Question 4

surgical handwash

Answer 4

• fingers to hands to elbows
• 5 minutes
• hands held upwards afterwards
• then surgical attire

Question 5

RN roles

Answer 5

scrub nurse and circulating nurse

Question 6

scrub nurse

Answer 6

• prepares instruments on table
• maintains counts of things
• verifies and reports drugs used

Question 7

circulating nurse

Answer 7

• assess pt
• checks OR equipment/supplies
• document care
• measuring output
• dispensing and recording drugs used
• goes with pt to PACU

Question 8

surgeons assistant can be….

Answer 8

MD, PA, or RNFA

Question 9

what can a RNFA do

Answer 9

manage incision/wound
hemostasis
sutures

Question 10

types of ACPs

Answer 10

anesthesiologist
CRNA
AA

Question 11

what does the ACP manage

Answer 11

anesthesia
airway
pain
CPR

Question 12

what does the timeout procedure verify

Answer 12

pt identification
surgical procedure
surgical site

Question 13

NANDA risk for positioning

Answer 13

risk for perioperative positioning injury

Question 14

skin prep for surgery

Answer 14

cleansing surgical site with iodine in a circular mortion, drape placed to only expose surgical site

Question 15

what must be grounded in case of an electrical shock

Answer 15

electrosurgical devices and the patient

Question 16

what is key for retained surgical equipment

Answer 16

counts are KEY

Question 17

local anesthesia

Answer 17

no loss of consciousness
loss of sensation to a local area
injection or applied topically

Question 18

4 types of regional anesthesia

Answer 18

local
spinal
epidural
caudal

Question 19

spinal anesthesia

Answer 19

injected into CSF in subarachnoid space (below L2)
- cant move or feel

Question 20

epidural

Answer 20

epidural space between L2-L5
- wont be able to feel, may be able to move

Question 21

caudal

Answer 21

epidural space near tip of tailbone used for kids as an alternative to spinal

Question 22

moderate sedation

Answer 22

• conscious sedation
• used for minor procedures like setting a bone
• sedative, anxiolytic, analgesic meds (IV)
• pts are responsive and breathe on their own

Question 23

monitored anesthesia care (MAC)

Answer 23

• sedative, anxiolytic, analgesic meds
• possible airway management
• usually IV
• not given by RN

Question 24

IV agents for general anesthesia

Answer 24

TIVA
induction with hypnotic, anxiolytic, or dissociative agent

Question 25

inhalation agents

Answer 25

- volatile liquid/gas - requires advanced airway

Question 26

adjunct meds (table 19-7)

Answer 26

- opioids - neuromuscular blockade - antiemetics

Question 27

balanced approach anesthesia

Answer 27

combo of inhalation and IV agents

Question 28

3 phases of general anesthesia

Answer 28

induction maintenance emergence space

Question 29

how to check if a ETT was successfully inserted

Answer 29

listen to lung sounds on the left side

Question 30

pt may have a sore what after surgery?

Answer 30

sore throat from the ETT

Question 31

laryngeal mask airway

Answer 31

doesnt go as far down as an ETT

Question 32

three big anaphylaxis agents

Answer 32

antibiotics latex blood products

Question 33

anaphylaxis causes...

Answer 33

hypotension tachycardia bronchospasm

Question 34

tx for anaphylaxis

Answer 34

epinephrine

Question 35

how is malignant hyperthermia passed down

Answer 35

autosomal dominant trait genetic mutations lead to excessive Ca2+ release

Question 36

what does malignant hyperthermia cause

Answer 36

hypermetabolism in skeletal muscles (rigidity)

Question 37

primary trigger for malignant hyperthermia

Answer 37

succinylcholine PLUS inhaled anesthetics

Question 38

malignant hyperthermia results in...

Answer 38

hypoxemia muscle contractures lactic acidosis fatal hyperthermia

Question 39

geriatric considerations

Answer 39

watch response to anesthesia and narcotics