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Flashcards in The Anesthetic Plan Deck (13):
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

If your pt is taking fish oil, you may be worried about

bleeding

4

Why are we concerned about weight loss products?

They may act in a similar manner to MAOIs

5

ASA Classification

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

6

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)

7

Standard monitors:
Standard 1

Qualified anesthesia personnel shall be present in the room throughout the conduct of all general, regional, and MAC cases

8

Standard monitors:
Standard 2

During all anesthetics, the patient's oxygenation, ventilation, circulation, and temperature shall be continually evaluated.

9

How do we monitor oxygenation?

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

10

How do we monitor ventilation?

EtCO2
Breath sounds
Observation of the patient and reservoir bag

11

How do we monitor circulation?

Continuous EKG
HR and BP Q5min
Pulses
Heart sounds
Pulse plethysmography
Pulse oximetry
A-line tracing

12

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

Yes, they should be written after the procedure.

13

Learn the difficult algorithm, you bastard.

Fucking do it.