CAPA/CPAN || 100% Errorless Answers.
General anesthesia- correct answers states of reversible unconsciousness where protective
reflexes are particle or completely lost, muscle relaxation, sedation, and amnesia obtained
Moderate sedation anesthesia- correct answers relaxed, non paralyzed state of analgesia
Regional anesthesia- correct answers loss of body sensation to region
Factor in anesthesia selection- correct answers age, physical status, type of surgery, patient
wishes, site of surgery/body position
ASA physical status classification- correct answers the specific risk the patient has to
developing a complication after to the procedure.
ASA 1- correct answers normal healthy patient
ASA 2- correct answers patient with mild, systemic disease...
smoker, pregnancy, obesity, mild drinker
ASA 3- correct answers severe systemic disease...poorly controlled DM, HTN, COPD,
obesity, history MI, stents
-some disagreement between anesthesia providers
ASA 4- correct answers patient with incapacitating systemic disease. ESRD, severe cardiac
valve dysfunction, stents, sepsis
ASA 5- correct answers not expected stop survive without the operation
ASA 6- correct answers organ donor, patient passed as brain dead
"E" ASA status- correct answers emergency patient with unknown history.
this can be added to any of the statuses
Stage 1 of anesthesia- correct answers -analgesia stage-
conscious and rational, follows simple commands, perception of pain is diminished but
reflexes are intact
Stage 2 of anesthesia- correct answers -delirium- unconscious, body responds reflexively,
pupils dilated, breath holding, respirations irregular, muscle tone intact.
most at risk for laryngospasm and aspiration. also MI
Stage 3 of anesthesia- correct answers -surgical anesthesia-
increasing degrees of muscular relaxation, unable to protect airway
Stage 4 of anesthesia- correct answers -medullary depression-
depression of cardiovascular and respiratory centers
considered overdose
, Recovery and Emergence of anesthesia- correct answers occurs in reverse order of
induction...surgical, delirium, analgesia.
Hypnotic anesthesia or otherwise known as? correct answers barbiturates
Methohexital (brevital)- correct answers barbiturates
used for induction, sedation, and MAC...no antagonists
SE: hiccups, and coughing
Etomidate (amidate)- correct answers an induction agent that is a non-barbiturate.
emergency type situation because very short acting hypnotic, no analgesia.
decreases cerebral blood flow and cerebral oxygen consumption without decreasing BP aka
good for neuro patients..
SE: can suppress adrenal function for 5-8 hours
Propofol (deprivan)- correct answers non-barbiturate
rapid onset and emergency, short acting, no analgesia effect.
HYPOTENSION on induction
not reversible
Ketamine- correct answers produces profound state of analgesia and unconsciousness.
-increases HR and Co
-spontaneous ventilation maintained
-appear awake but unaware
-able to use lower opioid dose
emergency delirium
Benzodiazepines-
examples (3)- correct answers calming, sedation, suppression of seizure activity.
Diazepam Midazolam Lorazepam
Benzodiazepine antagonist- correct answers flumazenil
Diazepam- correct answers usually pre-op for anxiety.
Midazolam- caution with what pt.s? correct answers Reducation in anxiety and profound
amnesia.
Caution with MI and COPD pts
General anesthesia- correct answers states of reversible unconsciousness where protective
reflexes are particle or completely lost, muscle relaxation, sedation, and amnesia obtained
Moderate sedation anesthesia- correct answers relaxed, non paralyzed state of analgesia
Regional anesthesia- correct answers loss of body sensation to region
Factor in anesthesia selection- correct answers age, physical status, type of surgery, patient
wishes, site of surgery/body position
ASA physical status classification- correct answers the specific risk the patient has to
developing a complication after to the procedure.
ASA 1- correct answers normal healthy patient
ASA 2- correct answers patient with mild, systemic disease...
smoker, pregnancy, obesity, mild drinker
ASA 3- correct answers severe systemic disease...poorly controlled DM, HTN, COPD,
obesity, history MI, stents
-some disagreement between anesthesia providers
ASA 4- correct answers patient with incapacitating systemic disease. ESRD, severe cardiac
valve dysfunction, stents, sepsis
ASA 5- correct answers not expected stop survive without the operation
ASA 6- correct answers organ donor, patient passed as brain dead
"E" ASA status- correct answers emergency patient with unknown history.
this can be added to any of the statuses
Stage 1 of anesthesia- correct answers -analgesia stage-
conscious and rational, follows simple commands, perception of pain is diminished but
reflexes are intact
Stage 2 of anesthesia- correct answers -delirium- unconscious, body responds reflexively,
pupils dilated, breath holding, respirations irregular, muscle tone intact.
most at risk for laryngospasm and aspiration. also MI
Stage 3 of anesthesia- correct answers -surgical anesthesia-
increasing degrees of muscular relaxation, unable to protect airway
Stage 4 of anesthesia- correct answers -medullary depression-
depression of cardiovascular and respiratory centers
considered overdose
, Recovery and Emergence of anesthesia- correct answers occurs in reverse order of
induction...surgical, delirium, analgesia.
Hypnotic anesthesia or otherwise known as? correct answers barbiturates
Methohexital (brevital)- correct answers barbiturates
used for induction, sedation, and MAC...no antagonists
SE: hiccups, and coughing
Etomidate (amidate)- correct answers an induction agent that is a non-barbiturate.
emergency type situation because very short acting hypnotic, no analgesia.
decreases cerebral blood flow and cerebral oxygen consumption without decreasing BP aka
good for neuro patients..
SE: can suppress adrenal function for 5-8 hours
Propofol (deprivan)- correct answers non-barbiturate
rapid onset and emergency, short acting, no analgesia effect.
HYPOTENSION on induction
not reversible
Ketamine- correct answers produces profound state of analgesia and unconsciousness.
-increases HR and Co
-spontaneous ventilation maintained
-appear awake but unaware
-able to use lower opioid dose
emergency delirium
Benzodiazepines-
examples (3)- correct answers calming, sedation, suppression of seizure activity.
Diazepam Midazolam Lorazepam
Benzodiazepine antagonist- correct answers flumazenil
Diazepam- correct answers usually pre-op for anxiety.
Midazolam- caution with what pt.s? correct answers Reducation in anxiety and profound
amnesia.
Caution with MI and COPD pts
