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Medical-Surgical Nursing

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