CNOR - Safe Administration of Anesthesia || All Solved.
What is a BIS monitor? correct answers "twitch" monitor
Capnograph correct answers Measures end tidal CO2
Tissue has to perfuse for there to be CO2 cuz CO2 is the waste product of metabolism. So, this is
the best perfusion test!
What do we assess for with moderate sedation? correct answers ETOH, cannabis, and opioids
(can affect anesthesia)
What is the Nurse Practice Act? correct answers It's a LAW that regulates nursing and what you
can do in your state
What ASA levels can an RN do moderate sedation for? correct answers ASA 1, 2, and 3
What are the two kinds of local anesthesia? correct answers Esters and amides
What are the esters? correct answers Cocaine, procaine, and tetracaine
Think "only one 'I' in the name"
Have PABA in them, which some people are allergic to, so we use amides more often
What are the amides? correct answers Bupivacaine, lidocaine, and mepivacaine
Used more commonly
, What do we need to assess q 5-15 minutes with local anesthesia? correct answers vitals, pain,
and LOC
LAST correct answers Local anesthetic systemic toxicity
High serum levels of local (amides or esters)
Frequently verbally communicate with pt about how they're doing to detect early
Things that put pt at high risk for LAST correct answers heart failure/disease, liver disease, low
albumin levels/malnutrition, advanced age, meds that inhibit sodium channels
What are the three phases of LAST? correct answers Initial, excitation, and depression
Initial phase correct answers metalic taste, tinnitus, light headed, agitated
Excitation phase correct answers tachycardia, hypertension, shivering, seizures, slurred speech
Depression phase correct answers Bradycardia, hypotension, coma, arrhythmias, MI
What is the reversal agent for LAST? correct answers 20% lipid emulsion
1-1.5 ml/kg
Why do we add epi to local drugs? correct answers It is a vasoconstrictor and slows the
absorption of the local. Allows for pain control postoperatively as pain med life will be
prolonged.
What is a BIS monitor? correct answers "twitch" monitor
Capnograph correct answers Measures end tidal CO2
Tissue has to perfuse for there to be CO2 cuz CO2 is the waste product of metabolism. So, this is
the best perfusion test!
What do we assess for with moderate sedation? correct answers ETOH, cannabis, and opioids
(can affect anesthesia)
What is the Nurse Practice Act? correct answers It's a LAW that regulates nursing and what you
can do in your state
What ASA levels can an RN do moderate sedation for? correct answers ASA 1, 2, and 3
What are the two kinds of local anesthesia? correct answers Esters and amides
What are the esters? correct answers Cocaine, procaine, and tetracaine
Think "only one 'I' in the name"
Have PABA in them, which some people are allergic to, so we use amides more often
What are the amides? correct answers Bupivacaine, lidocaine, and mepivacaine
Used more commonly
, What do we need to assess q 5-15 minutes with local anesthesia? correct answers vitals, pain,
and LOC
LAST correct answers Local anesthetic systemic toxicity
High serum levels of local (amides or esters)
Frequently verbally communicate with pt about how they're doing to detect early
Things that put pt at high risk for LAST correct answers heart failure/disease, liver disease, low
albumin levels/malnutrition, advanced age, meds that inhibit sodium channels
What are the three phases of LAST? correct answers Initial, excitation, and depression
Initial phase correct answers metalic taste, tinnitus, light headed, agitated
Excitation phase correct answers tachycardia, hypertension, shivering, seizures, slurred speech
Depression phase correct answers Bradycardia, hypotension, coma, arrhythmias, MI
What is the reversal agent for LAST? correct answers 20% lipid emulsion
1-1.5 ml/kg
Why do we add epi to local drugs? correct answers It is a vasoconstrictor and slows the
absorption of the local. Allows for pain control postoperatively as pain med life will be
prolonged.
