Questions and CORRECT Answers
The impact of PACU care on clinical outcome is affected by these things - CORRECT
ANSWER - 1. the mix of patients
2. severity of underlying disease
3. frequency, urgency and type of surgical procedures
4. the surgical & anesthetic techniques used
The level of postoperative care required is determined by these things - CORRECT
ANSWER - 1. severity of underlying disease
2. duration and complexity of anesthesia used
3. the potential for postoperative complications
Factors increasing sympathetic activity - CORRECT ANSWER - 1. noxious stimuli
2. adverse physiologic conditions
3. medications
Anesthetics that can increase sympathetic activity - CORRECT ANSWER - 1. ketamine
2. isoflurane
2 parasympatholytics - CORRECT ANSWER - 1. atropine
2. glycopyrrolate
Muscle relaxant that increases heart rate - CORRECT ANSWER - pancuronium
VS that should documented on PACU admit - CORRECT ANSWER - 1. heart rate
2. rhythm
, 3. systemic blood pressure
4. ventilatory rate
5. temperature
Time frequency of PACU VS - CORRECT ANSWER - Every 5 minutes for the first 15
minutes, then every 15 minutes
3 items that must be assessed in PACU - CORRECT ANSWER - 1. level of consciousness
2. airway patency
3. skin color
Every patient should be monitored with these 2 things - CORRECT ANSWER - 1. pulse
oximeter
2. single-lead ECG
How long should anesthesia staff manage the patient in PACU - CORRECT ANSWER - 1.
until admission VS obtained
2. both parties are happy
3. airway, ventilation & hemodynamics are appropriate
Components of a PACU admission report - CORRECT ANSWER - 1. preoperative history
2. premedications
3. NPO status
4. intraoperative factors
5. drugs given
6. assessment of airway and ventilatory status
Name of scale used for PACU discharge criteria - CORRECT ANSWER - Aldrete score