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vtec 575 final
Thomas Ch5: Workplace Safety
| Question | Answer |
|---|---|
| The concentration of waste anesthetic gas in the workplace is determined by air sample analysis and is usually expressed in | parts per million (abbreviated ppm). |
| National Institute for Occupational Safety and Health recommends that the concentration of any volatile gas anesthetic (including isoflurane, sevoflurane, and desflurane) not exceed | 2 ppm when used alone |
| NIOSH | National Institute for Occupational Safety and Health |
| The longer the anesthetic machine is in use | the higher the waste gas concentration in the air in the room. |
| The short-term problems associated with breathing waste gas appear to arise from a direct effect of anesthetic molecules | brain neurons |
| Long-term inhalation of high levels of waste gas may be associated with serious health problems, including | reproductive disorders, liver and kidney damage, bone marrow abnormalities, and chronic nervous system dysfunction. |
| The function of a scavenging system is to | collect waste gas from the machine and conduct it to a disposal point outside the building |
| A scavenging system has four basic components | 1. The waste gas port 2. Transfer tubing 3. The interface 4. Gas evacuation system |
| Anesthesia presents several potential health risks to hospital personnel, including | exposure to waste anesthetic gas and hazardous injectable agents and accidents associated with handling of compressed gas cylinders. |
| 3. Exposure to waste anesthetic gas is associated with short-term problems such | as fatigue, headache, drowsiness, nausea, depression, and irritability. |
| Long-term exposure to high levels of waste anesthetic gases may be associated with | reproductive disorders, liver and kidney damage, and nervous system dysfunction, |
| 6. Volatile waste anesthetic gases apparently do not have | oncogenic (cancer-causing) effects. |
| The National Institute for Occupational Safety and Health (NIOSH) recommended exposure limit | is 2 parts per million (ppm) for halogenated anesthetics |
| 1. Waste anesthetic gases are a potential hazard to personnel, but problems that arise are only of long-term nature. | false |
| 2. Long-term toxicity of inhalation anesthetics is thought to be caused by the release of toxic metabolites during the breakdown of these drugs within the body. | true |
| 3. The volatile inhalant general anesthetic thought to be least toxic, because very little is retained and metabolized, is: | isoflruane |
| 4. In the United States, the National Institute for Occupational Safety and Health (NIOSH) recommends that the levels of waste anesthetic gases for anesthetics such as isoflurane and sevoflurane should not exceed ___ ppm. | 2 |
| 5. As long as you can’t smell any waste anesthetic gas, you can be reasonably sure that the levels are below recommended exposure limits. | false |
| 6. Rooms in which animals are recovering from anesthesia may be highly contaminated with waste gas. | true |
| 7. Which of the following can be used effectively to monitor waste anesthetic gas levels? | Passive dosimeter badge |
| 8. How often should a test for low-pressure leaks be conducted? | Each day that the machine is used |
| 9. The safest way to transport a large compressed-gas cylinder, such as an oxygen tank, is by: | Using a handcart |
| 10. What is the minimum number of air changes per hour that should be available in a room in which waste anesthetic gases are present? | 15 |
| 11. A technician may reduce the amount of waste gases by: | Using cuffed endotracheal tubes Ensuring that the anesthetic machine has been tested for leaks Using an injectable agent rather than a mask or chamber |
| 12. To conduct a low-pressure test on an anesthetic machine (with a rebreathing circuit), you must: | Close the pop-off valve and occlude the patient end of the breathing circuit Compress the reservoir bag Pressurize the circuit with a volume of gas |