Who can provide anesthesia care? (4)
1. Anesthesiologists
2. CRNA's
3. Anesthesia assistants
4. Periop nurses
2. 4 types anesthesia General - loss of consciousness Regional - loss of sensation
Local - sm
...
Who can provide anesthesia care? (4)
1. Anesthesiologists
2. CRNA's
3. Anesthesia assistants
4. Periop nurses
2. 4 types anesthesia General - loss of consciousness Regional - loss of sensation
Local - small area loss of sensation MAC - IV
3. Whose responsibility during MAC to monitor pt?
4. What should RN monitor during MAC? (3)
RN
1. Extravasation of IV
2. Reduction of arterial O2 sat
3. Difficulty breathing
5. 4 Stages of anesthesia 1. Initial administration
2. Excitement - unconscious to loss of eye- lid reflex
3. Intrasurgery
4. Possibility of resp failure
6. 3 Phases of Anesthesia 1. Induction - admin until 1st incision
2. Maintenance - incision to completion
3. Emergence - from when pt awakens until pt exits OR
7. What is often used for upper ex- tremity nerve blocks?
8. Where is epidural anesthetic in- jected?
9. What helps ensure proper nee- dle placement during peripheral nerve block with regional anes- thesia?
IV regional anesthetic/Bier block
between ligamentum flavum and dura (NOT spinal canal)
continuous nerve stimulation
10. increased end-tidal CO2
First sign of Malignant Hyper- thermia
11. What should be done for pt with MH crisis?
12. Mentor or preceptor?
"One who provides encourage- ment and acts as a guide and fa- cilitator while modeling profes- sional nursing behaviors"
13. Mentor or preceptor?
"One who teaches, counsels, in- spires, serves as a role mod- el, and supports the growth and development of the novice for a fixed and limited period"
14. Mentor or preceptor?
Guides nurse through a wide range of professional activities
15. Mentor or preceptor?
Guides nurse through defined clinical activities
16. What should intra-abd pressure be maintained under in an adult pt during CO2 insufflation for endoscopic surgery?
17. Single most important factor in minimizing microorganism transfer
18. The most effective method for floor care in surgical suite
1. Stop surgery & stop triggering agents
2. Give dantrolene
3. Give 100% O2
4. Cool pt with iced saline Mentor
Preceptor
Mentor
Preceptor
12 mm Hg
Hand hygiene
Wet vacuuming
19. When should air sampling be done in OR? (3)
20. examples of mechanical hemo- stasis (8)
21. What type of hemostasis is achieved by occluding severed vessels until platelet formation occurs
22. Strand of material tied around blood vessel to occlude lumen and prevent bleeding
23. non-absorbable suture support used when there is possibility of sutures tearing through tissue
24. What type of hemostasis uses pharmacological or topi- cal products?
1. Before construction begins
2. After demolition
3. At end of project
1. Manual pressure (sponges)
2. Clamps
3. Sutures
4. Staples
5. Clips
6. Ligatur
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