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Anesthesia Unit 3 Flashcards | StudBud
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Anesthesia Unit 3
Anesthesia Unit 3
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1
What is the name for an agent that produces anesthesia
Antagonist
Anesthetic
2
What is the main purpose of a peripheral nerve block?
pre-op pain management, used in conjunction with MAC
post-op pain management, used in conjunction with general anesthesia
3
difference between a closed circle and semi-closed circle
Both are correct
Semi closed- some fresh gas is added, some expired sent to gas scavenging
closed circle- no gas is vented, CO2 absorbed and gas given back to patient
4
What is the name for a part of the body made insensitive to pain; caused by interruption of sensory nerve pathways
Regional Anesthesia
MAC
General Anesthesia
5
What type of medications is a group of organic compounds derived from barbituric acid; ised to induce sleep or sedation
barbituates
Fasciculation
6
What is a state of reversible unconsciousness produced by anesthetic agents in which motor, sensory, functions temp lost
General Anesthesia
MAC
7
This type of muscle relaxant is used to relax skeletal muscles,allow retraction of skin edges for exposure, reversable
Nondepolarizing muscle relaxant
Polarizing muscle relaxant
8
What is the name for a drug that couteracts the action of another drug?
Antagonist
Protagonist
9
Antagonist utilized to reverse nondepolarizing muscle relaxants
antagonist
Neostigmine
10
What is the category of medications that cause narrowing of blood vessels?
Vasoconstrictors
Local anesthetic
11
What is the term for decrease of or insensibility of pain?
Analgesia
Amnesia
12
describe a caudal block- where is the local injected and what area is numbed?
injected in subarachnoid space, numb lumbar region
injected in caudal canal of sarum, numb perineal area
13
Describe a Bier Block
single tourniquet with local injected
double tourniquet, upper inflated & arm infiltrated with local
14
Describe the difference between the anesthesia machine and the anesthesia cart
machine has vent, monitors, vaporizes inhalant drugs, ambu bag, soda lime
cart is storage supplies and locks, controlled substances/meds
Both are correct
15
Central Venous Pressure (CVP) measures blood pressurewithin what structure?In what situation is CVP important to monitor
Right atrium- assess function of right side (major surgeries/trauma)
Left Atrium- function of left side (major surgeries/trauma)
16
What is malignant hyperthermia
Rapid temperature drop where patient needs warm ed
rapid temperature increase triggered y anectine and inhalant anesthetic
life threatening complication of anesthesia causing muscle rigidit
Both are correct
17
What arrhythmia is shown by this EKG
Ventricular Tachycardia
Ventricular Flutter
Ventricular Fibrilation
18
Most common used inhalant gas that metabolizes 0.2%- good muscle relaxation & maintains cardiac output, increases heart
Anectane
Forane
Suprane
Nitrous Oxide
19
The names for action that anesthesia may ask the ciruclator to perform to obstruct the esophagus to inhibt aspiration?
Sellicks Maneuver/ Cricoid Pressure
Lachman Maneuver
20
What is localized, uncoordinated uncontrollable twitching of a single muscle group- can be side effects from drugs
Fasciculation
Analgesia
21
What are the common sizes for an endotracheal tube for men and women?
6-8 fr
7-9 fr, 7.5 for women, 8 for men
22
Newest anestethic gas that metabolizes at 5%; provides good relaxation and has pleasant smeel but expensive; children
Suprane
Anectane
Forane
Ultane
23
What is the term for loss of memory?
Memory Loss
Amnesia
Dimentia
24
Removal of the endotracheal tube is called what?
Extubation
Intubation
25
What space is a spinal block placed in the back and what level is the injection performed?
Epidural Space- L1/2, L2/3
Subarachnoid space- L 3/4, L4/5
26
What 2 additional monitors are placed by anesthesia after induction and what does each monitor measure?
Bis-Bispectral Monitor (brain activity & level of Consciousness
All of the Above
Sara-Capnography (end-tidal CO2)
27
Identify 5 anesthesia complication that can occur
excitement/ drug blood reactions
respiratory obstruction/ hypothermia/ MH
all of the above
laryngospasm/ stroke/ convulsions
28
Induction phase of anesthesia includes what 2 stages of general anesthesia?
Induction and Excitement
Excitement and Emergence
29
What is the purpose of the transudcer that is attached to an arterial line?
changes arterial pressure reading to electrical signal that are transmitted
checks central line pressure
30
The single lumen catheter that measure direct arterial pressure and is used to draw blood to check arterial blood gases
Central Line
Arterial Line (art line)
31
What is the name of the anesthesia provider who is a registered nurse who as atteneded anesthesia school and certified
CNRA
anesthesiologist
anesthesia tech
32
What is the absense of esesentially all sensations?
Amnesia
Anesthesia
33
What is an abnormally rapid heart rate, greater than 100 beats per minute?
Tachycardia
Bradycardia
34
Describe awake intubation and identify situations when it may be utilized
Intubation done before induction with fiberoptic scope-trauma, full stomach
induction then intubation
35
Describe the correct placememnt of the electrobdes for a 3 lead EKG that is attached to every surgical patient
white on the left, black on the left, fire over smoke
white on the right, black on the left, smoke over fire
36
Most common depolarizing muscle relaxant that is short acting and utilized for intubation
Nitrous Oxide
Forane
Anectine
Suprane
37
What arrhythmia is shown by this EKG
Ventricular Flutter
Ventricular Fibrilation
Ventricular Tachycardia
38
What 3 monitors are attached to every surgical patient prior to indcution and what does each monitor measure?
Pulse Oximeter (oxygen levels)
All of the above
EKG leads (heart rhythm)
Blood pressure cuff (blood pressure)
39
What is the category of medications that prevent or relieves nausa and vomiting?
Antagonist
Antiemetics
40
What is the term for insertion of the endotracheal tube by the assigned anesthesia provider?
Intubation
Extubation
41
The branch of medicine concerned with the administration of anesthetics
Surgery
Anesthesiology
42
List the pathway from insertion to distal location for apulmonary artery catheter
internal jugular, r atrium, r ventricle, pulmonary artery
r atrium, r ventricle, internal jugular, pulmonary artery
43
What is the term for an unconscious state due to narcotics?
Narcosis
Anaglesia
44
Identify the two veins locatedin the neck and chest where Central Lines are most commonly inserted
External Jugular (Neck) and Internal Jugular (Neck)
Internal Jugular (Neck) and Subclavian (Chest)
45
Most common site for art line longer than 24hrs? Most common site longer than 24hrs?
femoral artery less than 24hrs, radial artery longer than 24hrs
Radial artery less than 24hrs, femoral artery longer than 24hrs
46
What arrhythmia is shown by this EKG
V-Tach
Premature Ventricular Contraction (PVC)
47
What is the treatment for malignant hyperthermia?
dantrolene with mannitol and sodium
pack patient with ice and infuse cold solutions
both are correct
48
What space is an epidural block placed in the back and what level is the injection performed?
Epidural Space- L1/2, L2/3
Subarachnoid space- L 3/4, L4/5
49
What is the name for the person who assist the anesthesiologist or the anesthetist?
CST
Anesthesia Tech
50
Describe the emergent phase
gases turned off, O2 given, muscle relaxants reversed, the patient wakes up
Gases given to insert tube
51
Least metabolized gas at 0.02%, very expensive, must be heated to vaporize & requires special heater, good muscle relaxe
Forance
Suprane
Nitrous Oxide
Anectane
52
Describe the difference between MAC and local anesthetic
MAC- local plus conscious sedation "twilight sleep"
Both are correct
Local- injection of local at incision site with no sedation
53
This type of muscle relaxant is utilized for intubation and cannot be reversed with an antagonist
Depolarizing muscle relaxant
Nonpolarizing muscle relaxant
54
What is the term for an abnormally slow heart rate, less than 60 beats per minute
Tachycardia
Bradycardia
55
Inhalant gas referred to as a carrier gas as it is often mixed with expenisve inhalants to decrease cost & counteract
Anectine
Suprane
Nitrous Oxide
Forane
56
What arrhythmia is shown by this EKG
Flatline
Asystole
57
What arrhythmia is shown by this EKG
Ventricular Tachycardia`
Ventricular Fibrilation
Ventricular Flutter
58
What is the term to "render an extremity bloodless"
Narcosis
Exsanguinate
Analgesia
59
What does LMA stand for- how does it fucntion and how is it different from endotracheal tube?
laryngeal mask airway- short procedures placed behind the larynx
LMA Tube
60
What arrhythmia is shown by this EKG
Atrial Flutter
Atrial Fibrillation
61
What catheter is very long, short, flexible double lumen that measures both right and left sided function of the heart
NOT THIS- providing data released to pulmonary artery pressure
Aortic Catheter
Pulmonary Artery Catheter
NOT THIS- atrial pressure and cardiac output
62
What arrhythmia is shown by this EKG
Atrial Flutter
Atrial Fibrilation
63
Identify 3 indications for a pulmonary artery catheter
pre-existing cardiac or pulmonary disease
potential for developing cardiopulmonary instability from stress of surgery
All of the Above
major vascular disease, neurosurgery
64
Describe the excitment phase of general anesthesia
Possible vomiiting & breath holding, airway comprimise
All of the above
irregular respirations & heart rate, excited delirious activity
Spasmic muscle movements (fasciculation)
65
What 4 items are measured in the ABG blood test & how is this sample prepared to be sent to the lab for testing?
All of the above- sent on ice
PH
Acid
Oxygen and Cardon Dioxide
66
what catheter is inserted into vein that can be single, double or triple lumen that is used to infuse caustic drugs, ect
Arterial Line
Central Line
67
Identify the 3 phases of general anesthesia
emergence
maintenance
induction
All of the above