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15 Cards in this Set
- Front
- Back
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Define HTN
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HTN is dysfunction of the synpathetic nervous system caued by excessive catecholamines resulting in chronic vasocontriction.
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The Triangel of anesthesia
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analgesia, amnesia, muscle relaxant
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what are the signs of light anesthesia?How do you know they are light?
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increased pupilary reflex,htn,rr,tachy,lid reflex,curare cleft
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What stage of anesthesia is consious sedation occurring?
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stage 1
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Before extubation should you suction?What is their eyes are open?
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YEs..always suction! YES even if eyes are open!
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What is SOAP?
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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 |
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What are the classes neo and ephedrine?Doses and uses. Clearance.
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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 |
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What is balanced anesthesia?
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A combination of IV and inhalation agents that produce amnesia, analgesia,muscle relaxants and hypnosis while maintaining physiological homeostasis throughout the surgical procedure
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NMB monitoring how many twitches? What percent of receptors blocked by agent?
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1 twitch 90%
2 twitch 80 3 twitch 75 4 twitch 0-75 0 twitch 100 saturation |
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what nerve is assessed while monitoring the following muscles? Adductor pollicus, obicularis occuli, Flexor hallucis brevis?
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adductor pollicus-ulnar
obicularis occuli-facial flexor hallucis brevis-sural |
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What is the importance of assessing facial verus ulnar nerve?
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Facial is most indicative of the airway. Ulnar is what the diaphram is doing
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What is clinical duration?
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Clinical duration is the defined as the time from injection to recovery of TO4. It is significant because it is indicative of reversal time
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Why the sniff position?
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It allows for oral, pharnygeal, laryngeal axes such that the passage from the lips to glottic opening is most nearly in a straight line.
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What is included in a time out?
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PT,PROCEDURE,SITE,SIDE, ALLERGIES!
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What are the clinical tests for meeting criteria of extubation?
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Head lift greater than 5 sec
Sustained head lift arm lift greater than 45 sec. inspiratory force >-20cm h20 VC of 15ml/kg |
