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32 Cards in this Set
- Front
- Back
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risk
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danger, hazard,probability of suffering harm or untward outcome
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complication
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concurrent diseases or interruption of normal functioning of pt
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side effect
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consequence other than expected
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adverse
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harmful, usually uexpected occurance, deviation from common course
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termperol terms used
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acute, intermediate, long term
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which temporal time occurs during the perfermance of action?
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acute
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is a chipped tooth during intubation an acute, intermediate, or...
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acute
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is a tracheal puncture during intubation acute, intermediate, or
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acute
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which temporal time describes an event that happens while the drug or device is in the patient?
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intermediate
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If ETT tube in and erodes, what type (temporal event)
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intermediate
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which temporal time describes after the device is removed?
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long term
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once tube comes out, patient is hoarse. what does this describe?
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long term
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who initiated closed claim? when?
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cheney, 1985
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abt how many cases in data base?
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abt 7300
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where does data come from?
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insurance comp. after case closed
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5 means for confirming ett
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auscultation,capnography, chest rise and fall, condensation, tactile feedback
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gold standard for confirming?
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capnography rise and fall
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where do u listen for breath sounds?
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axillary line
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airway events are what percent of respiratory and all closed claims?
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respiratory: 35%; all: 12%
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4 cs of ETT placement
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chest rise, condensation, compliance, capnography
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Almost always, the leading cause of anesthetic untward outcome is
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airway
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who has higer mortality rates, ob or anesthesia?
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ob
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common causes for untward outcomes of airway>
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failure to secure patent airway, aspiration, hypoxemia
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6 common points of ending case
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nmb, ponv, breathing,analgesia,anesthetic temp,
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how long does exploratory lap need nmb?
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until deep layer closed
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how is pt is positioned for mastoidectomy?
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pt's head to side.
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if pts spo2 is 88% what is risk issue? how do you asses tx
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oxygen.check breathing, level of consousness, depth/rate, look for suprasternal notch retracltx jaw thrust
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If BP and HR high and expectorating blood what do we give?
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labetel 5mg b/c alpha and beta effects would treat hemorage.redose after 4-5 min
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if patiet emerges with 186/112 what should we treat with?
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hydralozine, labetelelol, metropolol, better than nitroglycerine b/c nitro short
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don't give labetelol if HR below
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70
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hydralozine works on
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arterial vasodilator
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best drug for hypotensive/tachycardia
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phenylephrine
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