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CAPA_CPAN.
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CAPA/CPANGeneral anesthesia- - ANS-states of reversible unconsciousness where protective
reflexes are particle or completely lost, muscle relaxation, sedation, and amnesia
obtained
Moderate sedation anesthesia- - ANS-relaxed, non paralyzed state of analgesia
Regional anesthesia- - ANS-loss of body sensation to region
Factor in anesthesia selection- - ANS-age, physical status, type of surgery, patient
wishes, site of surgery/body position
ASA physical status classification- - ANS-the specific risk the patient has to developing
a complication after to the procedure.
ASA 1- - ANS-normal healthy patient
ASA 2- - ANS-patient with mild, systemic disease...
smoker, pregnancy, obesity, mild drinker
ASA 3- - ANS-severe systemic disease...poorly controlled DM, HTN, COPD, obesity,
history MI, stents
-some disagreement between anesthesia providers
ASA 4- - ANS-patient with incapacitating systemic disease. ESRD, severe cardiac valve
dysfunction, stents, sepsis
ASA 5- - ANS-not expected stop survive without the operation
ASA 6- - ANS-organ donor, patient passed as brain dead
"E" ASA status- - ANS-emergency patient with unknown history.
this can be added to any of the statuses
Stage 1 of anesthesia- - ANS--analgesia stage-
, conscious and rational, follows simple commands, perception of pain is diminished but
reflexes are intact
Stage 2 of anesthesia- - ANS--delirium- unconscious, body responds reflexively, pupils
dilated, breath holding, respirations irregular, muscle tone intact.
most at risk for laryngospasm and aspiration. also MI
Stage 3 of anesthesia- - ANS--surgical anesthesia-
increasing degrees of muscular relaxation, unable to protect airway
Stage 4 of anesthesia- - ANS--medullary depression-
depression of cardiovascular and respiratory centers
considered overdose
Recovery and Emergence of anesthesia- - ANS-occurs in reverse order of
induction...surgical, delirium, analgesia.
Hypnotic anesthesia or otherwise known as? - ANS-barbiturates
Methohexital (brevital)- - ANS-barbiturates
used for induction, sedation, and MAC...no antagonists
SE: hiccups, and coughing
Etomidate (amidate)- - ANS-an induction agent that is a non-barbiturate.
emergency type situation because very short acting hypnotic, no analgesia.
decreases cerebral blood flow and cerebral oxygen consumption without decreasing BP
aka good for neuro patients..
SE: can suppress adrenal function for 5-8 hours
Propofol (deprivan)- - ANS-non-barbiturate
rapid onset and emergency, short acting, no analgesia effect.
HYPOTENSION on induction
not reversible
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