Your patient arrives for a 1:30 pm surgery. (1:30 pm in the afternoon). He admits he was
so thirsty he had a sip of water at 1:00 pm so he has been NPO (nothing by mouth) for
only 30 minutes. He assures you it was just a sip of water and nothing more. You tell
him:
Give this one a try later!
Its ok to proceed but we must wait 1.5 hours
,You are checking in the next patient who is a 50 year old male. He is really nervous
about the procedure. You confirm the surgical plan and then notice that he's avoiding
eye contact, appears very pale, nearly grey and is sweating. He suddenly "passes
out". Your diagnosis is:
Give this one a try later!
Syncope
A patient says that she is "Allergic to Amoxicillin and Codeine". Upon further
questioning she says that she had a rash when she took Penicillin and gets really
nauseated when she takes Tylenol with Codeine. This patient has:
Give this one a try later!
An allergy to Amoxicillin and has an adverse reaction to Codeine
The ASA (American Society of Anesthesiologists) classification is used for assessing
patients prior to General Anesthesia as a risk assessment tool. You have a patient with
a history of only Hypertension (high blood pressure). The Classification according to
the ASA would be:
Give this one a try later!
ASA II
, Your patient is a relatively difficult anesthetic: he is morbidly obese with a short neck,
recessed lower jaw, and Mallampatti score of VI. You're struggling to chin him. You've
already put in a nasal pharyngeal airway. What else might you try before you intubate
him?
Give this one a try later!
laryngeal mask airway (LMA)
You have a patient that is a 17 year old female who is undergoing the removal of all 4
wisdom teeth. During the surgery, you hear a high pitched crowing sound. You look
down and her chest and abdomen are "not in sync" when she is breathing, Her
oxygen saturation begins to fall rapidly. Your diagnosis and treatment are:
Give this one a try later!
Laryngospasm; Positive pressure oxygen & Succinyicholine if needed
A patient with Type I diabetes (insulin dependent) calls the morning of surgery. She
states that she is going to go to "sleep" to have a bad tooth removed.She is aware that
she needs to have nothing to eat or drink prior to coming in, but she is not sure what
to do with her insulin. She asks for instructions on her insulin that she normally injects
herself with in the morning. You advise her to:
Give this one a try later!
You tell her to skip the morning dose of insulin
so thirsty he had a sip of water at 1:00 pm so he has been NPO (nothing by mouth) for
only 30 minutes. He assures you it was just a sip of water and nothing more. You tell
him:
Give this one a try later!
Its ok to proceed but we must wait 1.5 hours
,You are checking in the next patient who is a 50 year old male. He is really nervous
about the procedure. You confirm the surgical plan and then notice that he's avoiding
eye contact, appears very pale, nearly grey and is sweating. He suddenly "passes
out". Your diagnosis is:
Give this one a try later!
Syncope
A patient says that she is "Allergic to Amoxicillin and Codeine". Upon further
questioning she says that she had a rash when she took Penicillin and gets really
nauseated when she takes Tylenol with Codeine. This patient has:
Give this one a try later!
An allergy to Amoxicillin and has an adverse reaction to Codeine
The ASA (American Society of Anesthesiologists) classification is used for assessing
patients prior to General Anesthesia as a risk assessment tool. You have a patient with
a history of only Hypertension (high blood pressure). The Classification according to
the ASA would be:
Give this one a try later!
ASA II
, Your patient is a relatively difficult anesthetic: he is morbidly obese with a short neck,
recessed lower jaw, and Mallampatti score of VI. You're struggling to chin him. You've
already put in a nasal pharyngeal airway. What else might you try before you intubate
him?
Give this one a try later!
laryngeal mask airway (LMA)
You have a patient that is a 17 year old female who is undergoing the removal of all 4
wisdom teeth. During the surgery, you hear a high pitched crowing sound. You look
down and her chest and abdomen are "not in sync" when she is breathing, Her
oxygen saturation begins to fall rapidly. Your diagnosis and treatment are:
Give this one a try later!
Laryngospasm; Positive pressure oxygen & Succinyicholine if needed
A patient with Type I diabetes (insulin dependent) calls the morning of surgery. She
states that she is going to go to "sleep" to have a bad tooth removed.She is aware that
she needs to have nothing to eat or drink prior to coming in, but she is not sure what
to do with her insulin. She asks for instructions on her insulin that she normally injects
herself with in the morning. You advise her to:
Give this one a try later!
You tell her to skip the morning dose of insulin
