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