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CAPA/CPAN Exam Study Guide.

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CAPA/CPAN Exam Study Guide. General anesthesia- - answerstates of reversible unconsciousness where protective reflexes are particle or completely lost, muscle relaxation, sedation, and amnesia obtained Moderate sedation anesthesia- - answerrelaxed, non paralyzed state of analgesia Regional anes...

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  • September 4, 2024
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CAPA/CPAN Exam Study Guide.


General anesthesia- - answer✔✔states of reversible unconsciousness where protective reflexes
are particle or completely lost, muscle relaxation, sedation, and amnesia obtained

Moderate sedation anesthesia- - answer✔✔relaxed, non paralyzed state of analgesia

Regional anesthesia- - answer✔✔loss of body sensation to region

Factor in anesthesia selection- - answer✔✔age, physical status, type of surgery, patient wishes,
site of surgery/body position

ASA physical status classification- - answer✔✔the specific risk the patient has to developing a
complication after to the procedure.

ASA 1- - answer✔✔normal healthy patient

ASA 2- - answer✔✔patient with mild, systemic disease...
smoker, pregnancy, obesity, mild drinker

ASA 3- - answer✔✔severe systemic disease...poorly controlled DM, HTN, COPD, obesity,
history MI, stents


-some disagreement between anesthesia providers

ASA 4- - answer✔✔patient with incapacitating systemic disease. ESRD, severe cardiac valve
dysfunction, stents, sepsis

ASA 5- - answer✔✔not expected stop survive without the operation

ASA 6- - answer✔✔organ donor, patient passed as brain dead

"E" ASA status- - answer✔✔emergency patient with unknown history.


this can be added to any of the statuses

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Stage 1 of anesthesia- - answer✔✔-analgesia stage-
conscious and rational, follows simple commands, perception of pain is diminished but reflexes
are intact

Stage 2 of anesthesia- - answer✔✔-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- - answer✔✔-surgical anesthesia-
increasing degrees of muscular relaxation, unable to protect airway

Stage 4 of anesthesia- - answer✔✔-medullary depression-
depression of cardiovascular and respiratory centers
considered overdose

Recovery and Emergence of anesthesia- - answer✔✔occurs in reverse order of
induction...surgical, delirium, analgesia.

Hypnotic anesthesia or otherwise known as? - answer✔✔barbiturates

Methohexital (brevital)- - answer✔✔barbiturates


used for induction, sedation, and MAC...no antagonists


SE: hiccups, and coughing

Etomidate (amidate)- - answer✔✔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)- - answer✔✔non-barbiturate

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