NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
Cholinergic Side Effects - (answer)DUMBELLS
>>increases concentration of Ach at muscarinic receptor = AchE inhibitors cause predictable
parasympathetic side effects
Diarrhea
Urination
Miosis
Bradycardia
Bronchoconstriction
Emesis
Lacrimation (increased tear production)
Laxation (elimination of fecal waste)
Salivation
Muscarinic Antagonist Side Effects - (answer)muscarinic antagonist = anticholinergics
-increased HR = Atropine > Glyco > scopolamine
-smooth muscle relaxation = atropine = glyco >scopolamine
-sedation = scopolamine > atropine (glyco doesn't cross BBB)
-antisialagogue = scopolamine >glyco > atropine
- mydriasis + cycloplegia = scopolamine > atropine (glyco doesn't cross BBB)
,NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
-prevent motion sickness = scopolamine > atropine (glyco doesn't cross BBB)
-decreases gastric H secretion = atropine = scopolamine = glyco
TEG - (answer)>> provides real time visual representation of disorders of coagulation and fibrinolysis
R = time to being forming clot (FFP_
K time = time until clot has achieved fixed strength (Cryo)
Alpha angle = speed of fibrin accumulation (Cryo)
maximum amplitude = highest vertical amplitude on the TEG (plt/DDAVP)
amplitude at minutes after maximum amplitude (A60)= height of vertical amplitude 60 min after MA
(TXA or aminocaproic acid)
Increased R = increased initial clot formation >>> problem with coagulation factors = FFP
Increased K (clot kinetics) = time until clot acheives fixed strength = clotting factors + fibrinogen = cryo
increased alpha angle = speed of fibrin accumulation = problem with fibrinogen = cryo
increased maximum amplitude (MA) = highest vertical amplitude of TEG = plt count, plt function,
fibrinogen = platelets/DDAVP
LY30 = fibrinolysis, percent lysis at 30 minutes = plasmin = TXA or aminocaproic acid
order from left to right =
R>>K>alpha angle>>MA>>LY30
FFP>>Cryo>>Cryo>>plt/DDAVP>>> TXA/Aminocaproic acid
,NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
Negligence - (answer)4 things that must be proved:
1. Duty = anesthesia provider had a duty to the patient
2. breach of duty = the provider failed to fulfill their duty
3. causation = a close causal relationship existed between the provider's acts and patient's injury
4. damages = actual damage was the result of a breach in the standard of care
assault vs. battery - (answer)- these are torts (civil wrongdoings)
Battery - physical act of touching another person without either expressed or implied consent
assault - making a person feel or percceive that battery is imminent
AANA Code of Ethics - (answer)>> dictates principles of conduct and professional integrity that GUIDE
decision-making and behavior of nurse anesthetists
>>the CRNA is held individually accountable for his or her "conduct in maintaining the dignity and
integrity of the profession" and "does not knowingly engage in deception in any form"
Practice Standards - (answer)>>authoritative statements that describe minimum rules and
responsibilities for which anesthetists are held accountable
>>muSt be adhered to
Standard 1: patient's rights>> right to autonomy, dignity, privacy and support patient's needs and safety
Standard 2: Preanesthesia Patient Assessment and Evaluation
, NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
Standard 3: Plan for anesthesia care
Standard 4: informed consent for anesthesia care and related services
Standard 5: documentation
Standard 6: equipment
Standard 7: anesthesia plan implementation and management
Standard 8: patient positioning
Standard 9: monitoring, alarms>>> oxygenation, ventilation, cardiovascular, thermoregulation,
neuromuscular
Standard 10: infection control and prevention
Standard 11: transfer of care
Standard 12: Quality improvement process
Standard 13: wellness>>is physically and mentally able to perform duties
Standard 14: culture of safety
SOLUTIONS 100% VERIFIED!!
Cholinergic Side Effects - (answer)DUMBELLS
>>increases concentration of Ach at muscarinic receptor = AchE inhibitors cause predictable
parasympathetic side effects
Diarrhea
Urination
Miosis
Bradycardia
Bronchoconstriction
Emesis
Lacrimation (increased tear production)
Laxation (elimination of fecal waste)
Salivation
Muscarinic Antagonist Side Effects - (answer)muscarinic antagonist = anticholinergics
-increased HR = Atropine > Glyco > scopolamine
-smooth muscle relaxation = atropine = glyco >scopolamine
-sedation = scopolamine > atropine (glyco doesn't cross BBB)
-antisialagogue = scopolamine >glyco > atropine
- mydriasis + cycloplegia = scopolamine > atropine (glyco doesn't cross BBB)
,NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
-prevent motion sickness = scopolamine > atropine (glyco doesn't cross BBB)
-decreases gastric H secretion = atropine = scopolamine = glyco
TEG - (answer)>> provides real time visual representation of disorders of coagulation and fibrinolysis
R = time to being forming clot (FFP_
K time = time until clot has achieved fixed strength (Cryo)
Alpha angle = speed of fibrin accumulation (Cryo)
maximum amplitude = highest vertical amplitude on the TEG (plt/DDAVP)
amplitude at minutes after maximum amplitude (A60)= height of vertical amplitude 60 min after MA
(TXA or aminocaproic acid)
Increased R = increased initial clot formation >>> problem with coagulation factors = FFP
Increased K (clot kinetics) = time until clot acheives fixed strength = clotting factors + fibrinogen = cryo
increased alpha angle = speed of fibrin accumulation = problem with fibrinogen = cryo
increased maximum amplitude (MA) = highest vertical amplitude of TEG = plt count, plt function,
fibrinogen = platelets/DDAVP
LY30 = fibrinolysis, percent lysis at 30 minutes = plasmin = TXA or aminocaproic acid
order from left to right =
R>>K>alpha angle>>MA>>LY30
FFP>>Cryo>>Cryo>>plt/DDAVP>>> TXA/Aminocaproic acid
,NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
Negligence - (answer)4 things that must be proved:
1. Duty = anesthesia provider had a duty to the patient
2. breach of duty = the provider failed to fulfill their duty
3. causation = a close causal relationship existed between the provider's acts and patient's injury
4. damages = actual damage was the result of a breach in the standard of care
assault vs. battery - (answer)- these are torts (civil wrongdoings)
Battery - physical act of touching another person without either expressed or implied consent
assault - making a person feel or percceive that battery is imminent
AANA Code of Ethics - (answer)>> dictates principles of conduct and professional integrity that GUIDE
decision-making and behavior of nurse anesthetists
>>the CRNA is held individually accountable for his or her "conduct in maintaining the dignity and
integrity of the profession" and "does not knowingly engage in deception in any form"
Practice Standards - (answer)>>authoritative statements that describe minimum rules and
responsibilities for which anesthetists are held accountable
>>muSt be adhered to
Standard 1: patient's rights>> right to autonomy, dignity, privacy and support patient's needs and safety
Standard 2: Preanesthesia Patient Assessment and Evaluation
, NBCRNA BOARD PREP 6 – MISC NEW SET WITH 100% VERIFIED
SOLUTIONS 100% VERIFIED!!
Standard 3: Plan for anesthesia care
Standard 4: informed consent for anesthesia care and related services
Standard 5: documentation
Standard 6: equipment
Standard 7: anesthesia plan implementation and management
Standard 8: patient positioning
Standard 9: monitoring, alarms>>> oxygenation, ventilation, cardiovascular, thermoregulation,
neuromuscular
Standard 10: infection control and prevention
Standard 11: transfer of care
Standard 12: Quality improvement process
Standard 13: wellness>>is physically and mentally able to perform duties
Standard 14: culture of safety
