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VTT Surgical Nursing
Final Exam Review
Question | Answer |
---|---|
What stage of anesthesia is Premortem? | Stage 4 |
What stage of anesthesia is excitement? | Stage 2 |
What stage of anesthesia is ideal for surgeries such as a spay? | stage 3 plane 3 |
What stage of anesthesia is ideal for surgeries such as a neuter? | stage 3 plane 2 |
what is the earliest anesthetic depth to allow endotracheal intubation? | stage 3 plane 1 |
What color is an oxygen tank? | green |
What color is a nitrogen tank? | black |
What color is a nitrous oxide tank? | blue |
What color is a carbon dioxide tank? | gray |
is isoflurane VIC or VOC? | VOC |
Is sevoflurane VIC or VOC? | VOC |
Is ether VIC or VOC? | VIC |
Is desflurane VIC or VOC? | VOC |
Is halothane VIC or VOC? | VOC |
Is chloroform VIC or VOC? | VIC |
Is nylon suture absorbable or non-absorbable | non-absorbable |
is polyester suture absorbable or non-absorbable? | non-absorbable |
is Vicryl suture absorbable or non-absorbable? | absorbable |
is Dermalon suture absorbable or non-absorbable? | non-absorbable |
is Dexon suture absorbable or non-absorbable? | absorbable |
is Prolene suture absorbable or non-absorbable? | non-absorbable |
is PDS suture absorbable or non-absorbable? | absorbable |
is chromic gut suture absorbable or non-absorbable? | absorbable |
is silk suture absorbable or non-absorbable? | non-absorbable |
before the oxygen hits the anesthetic machine oxygen gas is reduced to _____by the regulator? | 50psi |
What valve on anesthetic machine allows for room air to enter the anesthetic system? | negative pressure relief valve |
how could you subjectively monitor adequate oxygen saturation? | MM and CRT |
What happens when propofol is given too rapidly? | apnea |
which drug is classified as a dissociative? | ketamine |
mydriasis is best described as? | pupil dilation |
menace reflex is used to test for what? | vision |
when a light is shined into the right eye and the right pupil constricts, this is called what? | direct pupillary response |
What medical term for a neuter? | orchiectomy |
T/F- ketamine has analgesic properties | true |
T/F- Telazol has analgesic properties | true |
T/F- One of the most common complications of endotracheal intubation is placement of the tube into the esophagus | True |
T/F- Prolene is a type of absorbable suture? | False |
T/F- An animal with an ASA score of 1 is very healthy | True |
T/F- Nystagmus is considered a normal occurrence during induction of anesthesia and need not be recorded | False |
T/F- Anisocoria means both pupils are dilated | False |
T/F- An H tank should be changed when it reaches 200psi or lower | true |
T/F- Anesthetic gasses can be interchanged between vaporizers | False |
T/F- Atelectasis occurs when gastric contents are inhaled | False |
T/F- Mayo-hagar and olsen hagar refer to hemostats | False |
T/F- The only difference between carmalt hemostats and crile hemostats is size | false |
T/F- Blunt-sharp operating scissors are used on tissue or suture | True |
What induction drug should never be used in whippets? | thiopental/thiobarbiturates |
What color is associated with isoflurane? | purple |
What color is associated with sevoflurane? | yellow |
What color is associated with desflurane? | blue |
What color is associated with halothane? | red |
What would happen to an anesthetized patient if you pushed the oxygen flush button? | The anesthetic vaporizer is bypassed and the patient receives pure oxygen |
What does VIC stand for? | Vaporizer in circuit |
What does VOC stand for? | Vaporizer out of circuit |
What is the proper name for a declaw? | Onchyectomy |
What are the 4 steps of the pain pathway? | transduction, transmission, modulation, perception |
Systolic BP is in reference to when the heart is doing what? | contraction |
Diastolic | heart at rest |
Arteries have smooth muscle, do veins have this as well? | no |
How would you get a direct blood pressure reading? | arterial catheter w/ transducer |
What are 2 ways to get an indirect BP measurement? | Doppler, Oscillometric |
When choosing what size BP cuff to use, the cuff should be ____ the circumference of the limb | 40% |
When taking BP w/ a Doppler the crystal is placed directly over what? | an artery |
Does a Doppler measure BP accurately in patients less than 5kg | yes |
Does an oscillometer measure BP accurately in patients less than 5kg | no |
What is considered normal blood pressure? | systolic 110-160 mmHg Diastolic 70-90mmHg Mean 70-90mmHg |
hypotension | abnormally low blood pressure. |
hypertension | abnormally high blood pressure |
What can cause hypotension? | poor cardiac output, tachycardia, cardiac arrhythmia, shock, adrenal insuffiencies, low volume states, hypothermia, secondary to drug administration |
How would you treat hypotension? | crystalloids (LRS, Saline), colloids (blood product/hetastarch), Dopamine, Dobutamine, treatment of underlying disease (Addison's, heart disease etc..) |
causes of hypertension | pain, fever, hyper dynamic shock, renal failure, cushings disease, hyperthyroid |
What measurements does a pulse oximeter take? | oxygen saturation of hemoglobin, pulse waves, heart rate |
What can cause pulse ox readings to vary? | Skin pigment, perfusion, blood volume, motion |
Where can you place the pulse ox probe? | tongue, lip, ear, skin fold, prepuce, vulva |
What is the normal pulse ox reading when the patient is breathing room air? | 96-100% PaO2 of 80-100mmhg |
PaO2 | partial pressure of oxygen |
What does ETCO2 measure? | the carbon dioxide concentration at the end of exhalation |
What is ETCO2 | End tidal Carbon dioxide |
What is the normal ETCO2? | 35-40 mmHg |
Hypocapnia a.k.a. decreased CO2 (ETCO2 reading) | less than 32 mmHg |
Hypercapnia aka increased CO2 (ETCO2 reading) | greater than 50mmHg |
What are the causes of hypocapnia | hyperventilation, apnea, inadequate circulation to lungs, mechanical problem (tubing), incorrectly placed ET tube (esophagus) |
how would you treat hypocapnia? | increase anesthetic depth/analgesia, correct errors with set up |
What causes Hypercapnia? | hypoventilation, apnea, metabolic disturbances (acidosis), rebreathing of carbon dioxide |
How would you treat Hypercapnia? | decrease anesthetic depth, administration of medications (doxapram, naloxone,, positive pressure ventilation |