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30 Cards in this Set
- Front
- Back
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Who first demonstrated usage of ether at Mass General?
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William Morton
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Who is known as the Mother of Anesthesia
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Sister Mary Bernard
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S/S of latex allergy reaction in awake pt:
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Itchy eyes, generalized pruritus, SHOB, restlessness, crying, N/V/D, wheezing
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Goals and objectives of preop eval?
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Summary of pertinent findings, establishing personal rapport, reduce periop and postop morbidity and mortality, determine postop disposition, develop anesthesia plan
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S/S of latex allergy reaction in anesthetized pt:
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tachycardia, hypotension, wheezing, bronchospasm, flushing, facial edema
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What should the pt on glucophage (Metformin) do prior to a scheduled surgery? Why?
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D/C DOS due to potential for lactic acidiosis
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What should be done w/ the pt on a heparin gtt prior to surgery?
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May be reversed w/ protamine. Heparin gtt should be d/c'd 4-5hrs prior to surgery, check PTT
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How does chronic alcohol abuse affect anesthesia requirements?
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Resistance to CNS depressants and increased requirements for hypnotics, narcotics, and inhalation agents
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What should be done w/ the pt on comadin prior to surgery?
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May reverse w/ vitamin K or FFP. D/C coumadin 3-5 days prior to surgery, check PT/INR.
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How does acute alcohol intoxication affect anesthesia requirements?
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These pts exhibit exaggerated responses to anesthetic agent, thus may need less anesthetic.
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Thyromental Distance
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distance btwn lower mandible and thyroid notch
Normal is 7cm or >3 finger breadths |
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Mallampati classification of pt whose soft palate and the base of the uvula are visualized?
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Class III
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Mallampati classification of pt whose soft palate, tonsillar fauces, tonsillar pillars, and uvual are visualized?
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Class I
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Mallampati classification of pt whose soft palate is not visualized?
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Class IV
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Mallampati classification of pt whose soft palate, tonsillar fauces, and uvula are visualized?
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Class II
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Unstable angina, MI w/in 30 days, severe valvular disease, and symptomatic ventricular arrythmias: what level of risk factors?
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Major risk factors
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Mild angina, prior MI id'd by hx, prior CHF, DM, CRI: what level of risk factors?
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Intermediate risk factors
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Advanced age >70, abnormal EKG, low functional capacity, hx of stroke, uncontrolled HTN: what level of risk factors?
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Minor risk factors
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Characteristics of stable angina
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Brought on by exertion, relieved by rest or NTG in <15min, radiates to shoulder, jaw, or inner aspect of arm
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Characteristics of unstable angina
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Newly developed, progressively worsened, less responsive to meds, occurs at rest and lasts longer than 30min, transient ST or T wave changes
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What is the most prominent cardiovascular risk factor for a noncardiac surgery?
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LV dysfunction
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Hypothyroid s/s?
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cold intolerance, bradycardia, hypoventilation, OSA, fatigue
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Hyperthyroid s/s?
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heat intolerance, tachycardia, arrhythmias (AFib), dyspnea, anxiety
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Fasting guidelines for healthy pts for elective surgery:
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No chewing gum or candy after MN, clear liquids up to 2hr prior, breast milk up to 4hr prior, no infant formula, nonhuman milk, light meal at least 6hr prior, meds w/ sip of water up to 1hr prior
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ASA Classification for a healthy patient
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Class I
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ASA Classification for pt w/ mild to moderate systemic disease, with no functional limitations
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Class II
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ASA Classification for pt w/ severe systemic disease that limits activity
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Class III
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ASA Classification for pt w/ severe systemic disease that is a constant threat to life
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Class IV
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ASA Classification of moribund pt not expected to survive w/out this operation
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Class V
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ASA Classification of organ donor pt.
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Class VI
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