Peri-op meds

28問 • 2年前

問題一覧

What are the 3 types of anesthesia?

General, Regional, Local

What type of anesthesia is defined as a reversible loss of consciousness via I.V. or inhalation agents?

General anesthesia

What type of anesthesia is defined as blocking multiple peripheral nerves and reduces sensation in a specific body region via spinal/epidural.

Regional anesthesia

What type of anesthesia is defined as a loss of sensation around an incision, wound, or lesion via topical or local infiltration.

Local anesthesia

There are 3 different classes of general anesthesia what are they?

Inhalation agents (ane), I.V. Non barbiturates propofol, I.V. barbiturates

What is stage 1 of being under general anesthesia?

Analgesia and sedation, Pts drowsy/dizzy/ amnesic, Reduced sensation to pain/hearing exaggerated

What is stage 2 of being under general anesthesia?

Excitement delirium, Regular or irregular breathing/ LOC, Loss of eyelid reflex, Increased muscle tone/involuntary movement, Laryngospasm or vomiting may occur

What is stage 3 of being under general anesthesia?

Operative or surgical anesthesia, Generalized muscle relaxation, Jaw is relaxed, Breathing is quiet and regular, Patient cannot hear, Loss of reflexes/depression of vital functions, Sensations to pain are lost

What is stage 4 of being under general anesthesia?

DANGER, Depression of vital functions, Respiratory muscles are paralyzed/ apnea occurs, Pupils are fixed and dilated

Neuromuscular blockers are what?

Paralytics, Used when clinical situations require muscle paralysis, Succinylcholine or “-ium”

What are the adverse affects of neuromuscular blockers.

Respiratory: bronchospasm apnea, CV: hypotension, arrhythmias, Malignant hyperthermia, GI: constipation vomitting

What is the reversal agent for neuromuscular blockers?

Neostigmine Methylsulfate

What 2 medications usually cause malignant hyperthermia?

Inhitation agents combined with neuromuscular blockers

What are the two earliest signs of malignant hyperthermia?

Increased ETCO2, Decreased O2sat

Select what malignant hyperthermia does?

Increase serum calacium, Increases K+, Increases metabolic rate, Leads to acidosis, Cardiac dysrythmias, High temp, Fast breathing

How is malignant hyperthermia managed?

Early diagnosis important!, Dantrolene sodium skeletal muscle relaxant is Antidote!, IV fluids NS, Sodium bicarb

What is regional anesthesia?

Spinal, Epidural, Blocks nerve and field

Select the toxic affects of regional anesthetics.

CNS stimulation initial stress response, CNS and cardiac depression hypotension and bradycardia, Treatment open airway/o2, notify surgeon ASAP, fast acting barbiturate

Anesthetic at incision site.

Local anesthetic

Select the statements true to narcotic opioids.

Binds to pain receptors, Biggest adverse effect is respiratory depression, Change in LOC first!, Actions: Pain relief, anesthesia adjunct, sedation, relaxation

Select the statements true to narcotic agonists (antidote).

Naloxone (narcan), Observe for re-sedation, Used in opiate induced respiratory depression or overdose

Diazepam

Valium

What is propfol?

Diprivan, onset 30-60 seconds

Select the true statements regarding benzodiazepines.

Reduce anxiety, promote relaxation and have amnesic effect. (also used for anxiolytic effect), Diazepam(valium), Midazolam, Lorazepam (Ativan), triazolam

What is the reversal agent for benzodiazepines?

Flumazenil (Romazican)

Hydromorphone is what?

Dilaudid (10x stronger than morphine)

Morphine is what?

A narcotic

Sublimaze is what?

Fentanyl (100x stronger than morphine)

Health assessment questions

ユーザ名非公開 · 15問 · 2年前

Health assessment questions