Quiz 2 Flashcards
(47 cards)
Following NPO guidelines assures gastric emptying has occurred?
False
Medication can be taken PO with up to 150 cc of water in the hour preceding anestheia induction?
True
Demerol will cause a hypertensive crisis if patient is on a MAO-I?
True
What medication is contraindicated in Acute intermittent porphyria?
-All barbiturates
Anesthesia procedures may proceed without consent in emergency situations?
True - this is called “Implied Consent”
A medico-legal document in permanent hospital record should contain?
- Date and time of interview
- Planned procedure
- Description of extraordinary circumstances
- Allergies, medication , Labs
- Disease processes/treatments
- ASA status
What is the standards for Nurse anesthesia Practice Standard 2?
Informed consent
What is the standards for nurse anesthesia practice standard 3?
Formulate a patient specific plan for anesthesia care
What pre-anesthesia machine checks should be standard before administering anesthetics? SOAP-M
S-suction O-oxygen A-airway P-positive pressure ventilation/laryngoscope M-monitors/medication
What are the three anesthetic options?
- General Anesthesia
- Regional Anesthesia
- Monitored Anesthesia Care (MAC)
What are the 3 types of general anesthesia?
- inhalation
- intravenous (TIVA)
- Combination
What are some sites for regional anesthesia?
- Spinal/subarachnoid Block(SAB)/Intrathecal
- Epidural
- Blocks (Upper and lower extremities)
- –> Bier, Axillary
- –> Femoral Nerve, Ankle
What are the types of monitored anesthesia care (MAC)?
- Conscious sedation
- Deep sedation
What are the pre-op medication goals?
A-anxienty relief S-sedation A-analgesia A-Amnesia A-antisialagogue (control secretions) A-attenuate sympathetic nervous system response D-decrease anesthetic requirements P-prevent bronchospasm P-prophylaxis against allergy D-decrease PONV I-increase gastric fluid pH (Bicitra) D-decrease gastric fluid volume
GABA is the principle inhibitory neurotransmitter in the CNS?
True
How do benzodiazepines work on the receptor?
Enhance the affinity of the receptors for GABA
If you do surgery on someone without a signed consent, what could you be charged with? (Informed Consent in Anesth p 2)
Battery
With informed consent, are you required to inform the patient of every concievable risk of anesthesia? (Informed Consent in Anesth p 4)
No, that’s impossible. You should give them the most likely scenarios that could happen.
With informed consent, if a pt asks what their chances of a bad outcome due to anesthesia could be, what could you tell them? (Informed consent in Anesth p 5)
Recent studies show anesthesia related mortality rates are around 1:185,000 - 280,000
What should an informed consent for anesthesia contain (6 items) (Informed consent in Anesth p 2)
- Diagnosis
- Nature and purpose of treatment
- Risks and consequences of procedure
- Probability of success
- Alternative treatment
- Prognosis if treatment is not given
Will alcoholics require more or less anesthetic?
May require MORE anesthetics since they may have a tolerance built up to them. Although during Acute intoxication, pts may require less sedatives/analgesics
For persons taking beta blockers, which pressor might be better for them during surgery, Ephedrine or Norepi?
Ephedrine - because it will affect both HR and BP. Norepi will decrease HR while increasing BP
When planning an epidural or spinal, is it OK for the pt to recieve Heparin prior to the procedure?
NO. In fact, coags (PT, PTT, INR) should be reviewed prior to a spinal or epidural.
If someone is allergic to eggs, which anesthetic induction agent should you avoid?
Propofol
