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36 Cards in this Set
- Front
- Back
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anesthesia
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loss of ability to feel pain as a result of some drug or other medical intervention
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oliver wendell holmes
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1846 coined word anesthesia, sleep like state that makes painless surgery possible
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hypocrates quote
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suggested pt should behave for the surgeon so he can do his job
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pre anesthesia drugs
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opium, alcohol, coca leaves, phlebotomy, nerve compression, cold
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dr Robert Listen
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killed 3 pts during 1 amputation, 1 heart attack 2 to infection.
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valerius cordus
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1540 developed way to make ether,
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paraclesius
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associated with valerius for account of the chickens
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effects of ether
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slow induction time-very fat soluble, cardiac stable. ether frolics
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joseph priestly
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1773 developed method for N2O, heating ammonium nitrate and iron shavings. credited also with finding photosynthesis. believed N2O was good air.
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humphry Davy
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1800- discovered co2 and o2 exchanged at level of tissues, therefore a dose could exist for n2o, didnt recognize hypoxia
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samuel Colt
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sold N2O to fund patent for colt revolver
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jean bastiste andre dumas
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1837 credited with discovering chloroform
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chloroform effects
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not as safe as ether but less neasea and vomiting,
did sesnsitize tissues to epi |
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crawford long
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march 1842, credited as first to remove 2 teeth from patient using ehter
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william clark
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most likely first to use ether to remove tooth but discredited due to performing on a woman
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horace Wells
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1844 used N2o painless anesthesia, discreted due to patient groaning during procedure.
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effect of N2O
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excellent pain control but not anesthetic
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william Morton
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10/16/1846 student of wells, never paid bill but used ether for anesthesia. performed in ether dome
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Mr. Bigalow
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set up Morton in ether dome
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edmund Andrews
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1868 recognized hypoxia in N20 pts added O2 to the mix
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Morton's name for ether
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Lathion
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sir James Simpson
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1847. used chloroform to provide anesthesia during births. decided pain was actual or potential tissue damage
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definition for pain
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actual or potential tissue damage occuring
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Dr. John Snow
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1st anesthesiologist 1853. used chloroform on queen victoria for birth of prince albert
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what were the origional issues with sergery and anesthesia
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part time anesthesiologist and infection
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what 3 peop;e helped to decrease infections
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Nightingale, lister, pasteur
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Nightingale
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1854-56 developed general public health
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Lister
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1867 used carbolic acid to sanitize surfaces
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pasteur
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1862 developed germ theory
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why use CRNA
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1 trained 2 vigilant 3 girls4 cheap
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sister Mary Bernard
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1877 1st Nurse anesthesist
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alice Magaw
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Dr. Mayo Nurse, over 14000 pts with no issue
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agatha Hodgins
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1908 developed AANA and certification tests
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Nelson trial
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decided that both nurses and Drs can deliver anesthesia
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CRNA Standards Of Practice 1 and 2
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1 perform a thurough and complete assesment
2obtain inform consent for the planned anesthetic intervention from the pt or a legal gaurdian |
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CRNA standards of practice 3,4,5
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3 formulate a pt specific plan of anesthesia care
4 implement and adjust the anesthesia care plan based on the pts physiologic condition 5 monitor the pts physiologic condition as appropriate for the tyoe of anesthesia and specific needs of the pt |
