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PRINCIPLES OF ANESTHESIA NURSING 1 - EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PRINCIPLES OF ANESTHESIA NURSING 1 - EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PRINCIPLES OF ANESTHESIA NURSING 1 - EXAM 1 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 Anesthesia care consists of? - ANSWER Rendering patients insensible to pain and managing their condition during surgery or diagnostic procedures Includes preoperative evaluation and treatment, anesthetic administration, postoperative care, and other contributions (resuscitation, invasive lines, ventilatory management, acute and chronic pain relief) Where does anesthesia care occur? - ANSWER Hospitals, free standing surgical centers, offices (dental), "forward areas" (war/combat zones) What is the triad of general anesthesia? - ANSWER analgesia, hypnosis (amnesia), & immobility Types of anesthesia techniques? (4) - ANSWER General anesthesia, regional anesthesia, local anesthesia, and monitored anesthesia care (MAC) TEFRA 1982 - ANSWER Tax Equity and Fiscal Responsibility Act Direct payment to the CRNA under Medicare Part B Medical direction payment if 7 conditions were met 3 parts of HIPPA - ANSWER Privacy Rule Security Rule Electronic Data Exchange Preoperative phase includes: - ANSWER Preop evaluation Choice of anesthesia Premedication Intraoperative phase includes: - ANSWER Physiologic monitoring and vascular access General anesthesia (plan for induction, maintenance, and emergence) Regional anesthesia (plan for type of block, needle, local anesthetic) Postoperative phase includes: - ANSWER Postoperative pain control method Special monitoring or treatment based on surgery or anesthetic course Disposition (home, PACU, ward, stepdown, ICU) Is the CRNA required to accompany the patient to the PACU? - ANSWER YES! General anesthesia - ANSWER A reversible depression of the CNS sufficient to permit surgery to performed without movement, obvious distress, or recall Preparation: MSMAID - ANSWER Machine check Suction Monitors Airway IV Drugs Medications given during preoperative period? - ANSWER "Drug of trust" Versed Fentanyl Medications given during induction? - ANSWER Propofol (mcg/kg) (sometimes with lidocaine to reduce burning and reduces sympathetic response of DL) Etomidate (not as common) Succinylcholine Medications given for maintenance of anesthesia? - ANSWER Gases/VAA (Sevoflurane, Isoflurane, Desflurane, etc.) Muscle relaxants (Rocuronium, Vecuronium) - may or may not give Narcotics (Fentanyl, Morphine, Dilaudid) What are some emergency medications? - ANSWER Ephedrine (if BP low and HR low) Phenylephrine (if BP low and HR normal) Robinol/Glycopyrulate (like atropine but not ACLS drug; increases HR) Succinylcholine (in case of laryngospasm with LMA) Nitroglycerin (to drop BP fast) Medications used during emergence? - ANSWER Reversal agents (Neostigmine; usually given with Robinol/Glycopyrulate to increase HR that is lowered by neostigmine) -Sugamadex Narcotics for post -operative pain Antiemetics (Zofran, scopalamine patch) What is the purpose of preoxygenation/denitrogenation? - ANSWER Air is mostly nitrogen so you want to give them mostly oxygen so they have the reserve to give you time needed to intubate What drugs blunt sympathetic response to DL during induction? - ANSWER Fentanyl Lidocaine *Monitored anesthesia care (MAC) becomes general anesthesia when? - ANSWER When you have to support the patient's airway (even a jaw thrust) *You want to wait to push a paralytic/muscle relaxant until what? - ANSWER You know you can ventilate the patient! *When do you release cricoid pressure during RSI? - ANSWER When the patient is intubated, the cuff of ETT is inflated, and there are bilateral breath sounds (MUST HAVE ALL THREE!)The benefits of buying summaries with Stuvia:
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