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Anesthesia
Medical-Surgical Nursing
| Question | Answer |
|---|---|
| What factors are considered by the ACP to select an anesthetic? | Patient's physical and mental status; age; allergy and pain history; factors related to operation; and expertise of ACP |
| What is a desirable measure on the ASA Physical Status Scale? | 1 |
| Does moderate-to-deep sedation require an ACP? | No |
| What is conscious sedation? | Moderate-to-deep sedation |
| What is a drug used for moderate to deep sedation? | Versed |
| Does monitored anesthesia care require an ACP? | Yes |
| What are drugs used with MAC? | Diprivan and Fentanyl |
| What is needed once inhalation anesthesia is used? | ET tube or LMA |
| What are adjuncts commonly used with general anesthesia? | Opioids, benzodiazepines, neuromuscular blocking agents, and antiemetics |
| True or False: General anesthesia usually just uses one agent. | False |
| What is an adverse reaction of neuromuscular blocking agents? | Fasiculations |
| What is a nursing intervention required when giving opioids as an adjunct to general anesthesia? | Monitor oxygen saturation and respirations |
| Why are neuromuscular agents used as an adjunct to general anesthesia? | Facilitates endotracheal intubation and paralysis of skeletal muscles |
| What should you monitor when using neuromuscular blocking agents? | Airway patency and adequacy of respiratory muscle movement |
| What should you assess before giving a patient food who has had local anesthesia to the throat? | The gag reflex |
| True or False: Regional anesthesia can be given PO. | False; it's injectable only |
| What are some adverse effects of local and regional anesthesia? | Hypotension and seizures |
| How long before the procedure should you apply topical local anesthesia? | 30-60 minutes |
| Where is spinal anesthesia usually given? | Usually below L2 vertebrae. |
| What should you assess for in patients receiving spinal and epidural anesthesia? | Autonomic nervous system blockade (bradycardia, hypotension, and N/V) |
| What drug is a common trigger for malignant hyperthermia? | Succinylcholine |
| What type of genetic disorder is malignant hyperthermia? | Autosomal dominant |
| What are symptoms associated with malignant hyperthermia? | Tachycardia, tachypnea, and hypercarbia |
| True or False: Rise in body temperature is an early sign of malignant hyperthermia. | False |
Created by:
shrewsburysd
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