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Nurse Anesthesia NCE Board Review Part 2 Questions & Answers Rated 100% Correct!!
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Nurse Anesthesia NCE Board Review Part 2 Questions & Answers Rated 100% Correct!!
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Name: Score:215 Multiple choice questions
Definition 1 of 215
"The thing speaks for itself"
the principle that the occurrence of an accident implies negligence.
Shifts the burden of proof from the plaintiff to the defendant
Can occur if 4 conditions were established
-The injury would not have occurred in the absence of negligence
-The injury was caused by something under the complete control of the provider
-The pt did not contribute in any way to the injury
-The evidence for the explanation of events is solely under the control of the provider
what blood volume/HD changes that occur when the pt is placed into sitting position?
Implied consent
where is COX 1 enzyme located?
what does COX 1 enzyme produce?
what happens when NSAIDS inhibit COX 1?
Res Ipsa Loquitur
,Term 2 of 215
Ephedra
-whats it used for?
-interaction can occur with which drug class?
-what troubles can be encountered in the OR?
-should it be d/c before surgery? if so how many hrs or days?
Obses ppl have an increased volume of distribution for both lipophilic AND hydrophilic
drugs
Due to large fat mass, larger muscle mass, and larger blood volume
They have shorter circulation times
MAC is unchanged
Initially there is a surge in PNS activity followed by SNS activity
PNS → brady, decr BP, increased oral secretions, increased gastric secretion
SNS → tachy, HTN, increased gastric pressure, increased CBF, increased intracranial
pressure, increased intraocular pressure
A diet aid, athletic enhancer, nasal decongestant
Interaction with MAOIs can cause serotonin syndrome
Sympathomimetic effects
Catecholamine depletion with long term use leads to HD instability
d/c 24 hrs before surgery
Due to medial aspect of the leg leaning on the supporting cradle in the lithotomy position
Prevention = palace padding between leg and stirrup
Presentation = reduced sensation over anteromedial aspect of the leg
,Term 3 of 215
Garlic
-whats it used for?
- what are SE?
-should it be d/c before surgery? if so how many hrs or days?
Antiplatelet, HTN, HLD
Increased bleeding risk and decreases serum glucose
d/c 7 days before surgery
Used for anti aging and poor circulation
Increases bleeding risk
d/c 36 hrs before surgery
Most chemo drugs cause bone marrow suppression and thrombocytopenia
Bleomycin is key exception
Used for anxiety
Decreases MAC by increasing GABA
May prolong duration of anesthetic agents
, Definition 4 of 215
UO 0.5-1 ml/kg/kg
MAP > 60
HR 80 -100
Base def < 2
Cis and atracuruium are dosed on _________ body weight
Clinical end points of burn resuscitation
what are risk factors for complex regional pain syndrome?
what is treatment of bone cement syndrome?
Term 5 of 215
what are risk factors for complex regional pain syndrome?
Treatment = 100% FiO2, IV hydration, phenylephrine
RF = female gender, previous trauma, previous surgery
5HT3 receptors and NK1 receptors are in the GIT
IBW for men = height in cm - 100,
women = height in cm - 105
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