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DAANCE: Module IV
DAANCE: Module IV Anesthesia Equipment and Monitoring
| Question | Answer |
|---|---|
| How are anesthesia machine gases measured? | Liters per minute |
| A vaporizer anesthesia machines converts: | Liquid anesthetic agents into gases |
| What does a ventilator do for a patient? | Breathes |
| Most anesthesia machines will stop delivering nitrous oxide or other gases automatically when the oxygen delivery is below a safe level of: | 30% |
| What kind of system reduces the level of escaped gases by exhausting them out of the office? | Scavenging system |
| What color is an oxygen tank? | Green |
| What color is a nitrous oxide tank? | Blue |
| What color is a carbon dioxide tank? | Gray |
| What color is a compressed air tank? | Yellow |
| What color is a nitrogen tank? | Black |
| What color is a helium tank? | Brown |
| How many oxygen tanks should be hooked up for rapid changeover either automatically or manually? | Two tanks |
| What psi should read on a full oxygen tank? | 2000 psi |
| What psi should read on a full nitrous oxide tank? | 750 psi |
| When maintaining a patient's airway, what methods should be used? | Head tilt/chin lift, jaw thrust, nitrous oxide/oxygen delivery, and surgical suction |
| What airway adjuncts can be used to deliver oxygen to a patient? | Full-face mask, nasal hood, or nasal cannula |
| What airway adjuncts can be used to ventilate a patient? | Bag/valve/mask ventilation |
| When the tongue is obstructing the airway, what are three ways to pull tongue out of mouth to re-establish the airway? | Pull with piece of gauze wrapped around index finger and thumb, grasp with hemostats, and tongue suture |
| What is a method of establishing the airway by passing through the nasal route if the tongue is obstructing the airway? | Nasopharyngeal airway |
| What is a method of establishing the airway by passing through the oral route while positioning the tongue anterior and improving ventilation? | Oropharyngeal airway |
| What is a supraglottic airway adjunct? | An adjunct used to establish the airway above the level of the vocal cords |
| What supraglottic adjunct may be used without the use of a laryngoscope and can be used during emergencies? | Laryngeal mask airway (LMA) |
| What supraglottic adjunct does not require inflation and are less likely to become dislodged than LMAs? | I-gel supraglottic airway |
| Which supraglottic airway adjunct may be placed either orally, nasally, or through a tracheostomy site? | Endotracheal intubation |
| What must be observed following the placement of an endotracheal tube? | Listen to left and right sides of chest and to the stomach |
| When all other conventional methods of establishing an airway have failed, what is the quickest, easiest surgical airway method? | Cricothyrotomy |
| Where is the incision made when attempting a cricothyrotomy? | Between the cricoid and thyroid cartilages of the larynx |
| What does a cardiac monitor determine for a patient? | The arterial pressure (systolic and diastolic) and electrical activity via EKG leads |
| What are the patient monitoring requirements for all deep sedation and general anesthesia procedures? | Continuous display of the cardiac monitor (EKG and BP), oxygen saturation level, and capnography |
| Which kind of defibrillator is only practical definitive treatment for ventricular fibrillation? | Full-function |
| Which kind of defibrillator automatically assess cardiac rhythm and can eliminate ventricular fibrillation in 85% of cases in the first shock? | AED (Automatic External Defibrillator) |
| When checking the patient for proper ventilation, what are three observations without the use of a device? | Chest rising, anesthesia bag inflating/deflating, and color of patient's mucosa, skin, and nail beds |
| What device is used specifically designed to listen to breath sounds during anesthesia? | Pretracheal (precordial) stethoscope |
| What is a modern way for every team member to audibly listen to a patient's breaths during a procedure? | Bluetooth remote |
| What does a pulse oximeter measure? | The level of oxygenated hemoglobin compared with total hemoglobin at the site of the probe, as well as pulse rate |
| The oxygen saturation level of a healthy patient under normal circumstances should be between: | 96% to 100% |
| A capnograph measures: | Real time ventilation |
| Oxygenation cannot take place without effective: | Ventilation |
| Simple options of checking a patient's pulse is by: | Palpation and by listening with a precordial stethesope |
| Digital options for checking a patient's pulse is by: | A digital pulse monitor, pulse oximeter, an automatic BP monitor, and a cardiac monitor |
| How would one determine a patient's anesthesia depth? | Observation of the changes in vital signs and oxygen saturation, as well as the eyelid reflex being lost with heavier sedation |
| Indication of lost IV access and infiltration of IV fluids into tissues would be: | Puffiness or redness at IV site or unintended slowing of IV rate |
| Six emergency protocols and treatment consist of: | BLS, auxiliary oxygen source, suction back-up system, auxiliary light source, a recovery area, and emergency medications ("crash cart") |