Glossary of principles of anesthesia test 2n651
- Define HTN
- HTN is dysfunction of the synpathetic nervous system caued by excessive catecholamines resulting in chronic vasocontriction.
- The Triangel of anesthesia
- analgesia, amnesia, muscle relaxant
- what are the signs of light anesthesia?How do you know they are light?
- increased pupilary reflex,htn,rr,tachy,lid reflex,curare cleft
- What stage of anesthesia is consious sedation occurring?
- stage 1
- Before extubation should you suction?What is their eyes are open?
- YEs..always suction! YES even if eyes are open!
- What is SOAP?
- S-Suction r/t suction yankaur, ett,nt,turn it up on full!
O-oxygen check pipelines, machine,tank source, bvm, vaporizers,leaks for suction
A-Airway ETT, laryngoscope,blade,mask, oral, nasal airways, cricoid kit, lma, magill forceps, bougie
P-Pharmacology Benzos,opiods,induction agents,ndmr,depolarizing,vasopressors
- What are the classes neo and ephedrine?Doses and uses. Clearance.
- Neo Synthetic non catecholamine
Alpha adrenergic agonist.Dose10ug/min iv intitially then titrate to dose. Rapid onset. Cleared renally and hepatic
Ephedrine-Non catecholamine sympathomimetic with mixed and direct and indirect actions as well as CNS systems. Dose is 5-50mg IV prn. Cleared renally. Avoid in MAO inhibitors
- What is balanced anesthesia?
- A combination of IV and inhalation agents that produce amnesia, analgesia,muscle relaxants and hypnosis while maintaining physiological homeostasis throughout the surgical procedure
- NMB monitoring how many twitches? What percent of receptors blocked by agent?
- 1 twitch 90%
2 twitch 80
3 twitch 75
4 twitch 0-75
0 twitch 100 saturation
- what nerve is assessed while monitoring the following muscles? Adductor pollicus, obicularis occuli, Flexor hallucis brevis?
- adductor pollicus-ulnar
flexor hallucis brevis-sural
- What is the importance of assessing facial verus ulnar nerve?
- Facial is most indicative of the airway. Ulnar is what the diaphram is doing
- What is clinical duration?
- Clinical duration is the defined as the time from injection to recovery of TO4. It is significant because it is indicative of reversal time
- Why the sniff position?
- It allows for oral, pharnygeal, laryngeal axes such that the passage from the lips to glottic opening is most nearly in a straight line.
- What is included in a time out?
- PT,PROCEDURE,SITE,SIDE, ALLERGIES!
- What are the clinical tests for meeting criteria of extubation?
- Head lift greater than 5 sec
Sustained head lift
arm lift greater than 45 sec.
inspiratory force >-20cm h20
VC of 15ml/kg
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