CNOR- Emergencies and
Complications Exam Questions &
Answers31
Anesthesia complications, bleeding - ANSWERS-Patients with liver disease have higher likelihood
of two things. Name them.
- ANSWERS-Alcohol abuse Leads to:
-Liver Changes
-Esophageal Varices
-Pancreatitis
-Malnutrition
-Alcohol withdraw symptoms
Put down smaller NG/be careful (Can bleed) - ANSWERS-Consideration for anesthesia regarding
esophageal varices.
3.5-5 - ANSWERS-What is a normal albumin?
- ANSWERS-LATEX Allergies:
-Latex risk assessment
-First case of the day
-Do not remove rubber stoppers
First - ANSWERS-Latex allergy cases should be the _________ case of the day.
,Kiwi, Banana, nuts - ANSWERS-Three food allergies that could indicate cross sensitivity to Latex.
- ANSWERS-Increased ICP:
Need normovolemia
Too little fluid=decreased BP and perfusion to brain
Too much fluid= further increased ICP
Hypothermia, fluid, electrolyte - ANSWERS-Burn patients are prone to __________ and
________ and ______ imbalances are common.
Hypertension, GERD, Delayed wound healing - ANSWERS-Patients with diabetes are prone to 3
key things that we must watch for. Name them.
Diabetes insipidus, hypothalmus, pituitary, DDAVP, Vasopressin, CC for CC fluid replacement per
urine output - ANSWERS-A condition where the body has issues regulating fluids. Most of the
time caused by an injury to the head or surgery with damage to these two key structures
(name). What are the 3 treatments?
DDAVP, Vasopressin - ANSWERS-Two meds for treatment of DI?
7-8 weeks - ANSWERS-How long does it take for ciliary function to return in smokers after
quitting? Surgical patients should stop smoking ASAP.
Low end - ANSWERS-Patients with cardiac issues should be kept in what range of BP?
Vasoconstrictor - ANSWERS-Patients who smoke may cough up black gunk as a response to
stopping smoking. Nicotine is a potent _________.
,factor vii deficiency, synthetic factor Vii, PTT - ANSWERS-Hemophilia is a clotting disorder
caused by a ___________ ____ _____________ and the treatment is ___________ _________
_________ replacement started in pre-op and throughout surgery, even if a ______ level looks
fine pre-op.
11-55 - ANSWERS-What is considered childbearing age in women?
- ANSWERS-Pregnancy:
-ALL PATIENTS OF CHILDBEARING AGE ARE PREGNANCY TESTED PRIOR TO SURGERY
-Always position off vena cava
-Maintain BP for fetal perfusion
-Fetal heart monitoring starting at 20 weeks (viability)
-Braxton hicks are normal after surgery due to uterine manipulation
Normal - ANSWERS-Braxton hicks contractions are _________ after surgery due to uterine
manipulation.
- ANSWERS-CHF:
-Prone to FVO
-NPO and DO NOT take diuretic
-Under anesthesia, they dilate and need fluid
Do not take diuretic - ANSWERS-One special consideration for CHF patients intra-op.
40, 30, 20 - ANSWERS-What BMI is morbid obesity? Regular obesity? Overweight?
, - ANSWERS-Morbid Obesity:
Difficult intubation common
Wound healing compromised
avascular - ANSWERS-Morbidly obese patients naturally have poor wound healing because fat is
____________.
Laryngospasm, inhaler - ANSWERS-Asthma patients are prone to ____________ so patients
should bring their _________.
Oxygen, co2, 90%, 30%, 2 liters - ANSWERS-COPD patients:
Low ______ stimulates breathing, not high _____. o2 sats for these patients should hover
around _____% in order to maintain a respiratory drive. They should have low concentration o2
which is _____% or ____ liters Nasal Cannula. They shouldn't have any more than this because
it takes their drive to breathe away.
500, 45 - ANSWERS-A ventilator is needed post op if a patient is taking a tidal volume less than
_______ ml and/or if the End tidal co2 is greater than _____.
- ANSWERS-Rheumatoid Arthritis:
-Joint immobility
-RA causes anemia
-Steroid coverage puts them at risk for an impaired stress response (Hypo-adrenal crisis)
Anemia, hematocrit, hemoglobin - ANSWERS-Rheumatoid arthritis patients are susceptible to
_________, so a pre-op ______ & _______ are essential.
Complications Exam Questions &
Answers31
Anesthesia complications, bleeding - ANSWERS-Patients with liver disease have higher likelihood
of two things. Name them.
- ANSWERS-Alcohol abuse Leads to:
-Liver Changes
-Esophageal Varices
-Pancreatitis
-Malnutrition
-Alcohol withdraw symptoms
Put down smaller NG/be careful (Can bleed) - ANSWERS-Consideration for anesthesia regarding
esophageal varices.
3.5-5 - ANSWERS-What is a normal albumin?
- ANSWERS-LATEX Allergies:
-Latex risk assessment
-First case of the day
-Do not remove rubber stoppers
First - ANSWERS-Latex allergy cases should be the _________ case of the day.
,Kiwi, Banana, nuts - ANSWERS-Three food allergies that could indicate cross sensitivity to Latex.
- ANSWERS-Increased ICP:
Need normovolemia
Too little fluid=decreased BP and perfusion to brain
Too much fluid= further increased ICP
Hypothermia, fluid, electrolyte - ANSWERS-Burn patients are prone to __________ and
________ and ______ imbalances are common.
Hypertension, GERD, Delayed wound healing - ANSWERS-Patients with diabetes are prone to 3
key things that we must watch for. Name them.
Diabetes insipidus, hypothalmus, pituitary, DDAVP, Vasopressin, CC for CC fluid replacement per
urine output - ANSWERS-A condition where the body has issues regulating fluids. Most of the
time caused by an injury to the head or surgery with damage to these two key structures
(name). What are the 3 treatments?
DDAVP, Vasopressin - ANSWERS-Two meds for treatment of DI?
7-8 weeks - ANSWERS-How long does it take for ciliary function to return in smokers after
quitting? Surgical patients should stop smoking ASAP.
Low end - ANSWERS-Patients with cardiac issues should be kept in what range of BP?
Vasoconstrictor - ANSWERS-Patients who smoke may cough up black gunk as a response to
stopping smoking. Nicotine is a potent _________.
,factor vii deficiency, synthetic factor Vii, PTT - ANSWERS-Hemophilia is a clotting disorder
caused by a ___________ ____ _____________ and the treatment is ___________ _________
_________ replacement started in pre-op and throughout surgery, even if a ______ level looks
fine pre-op.
11-55 - ANSWERS-What is considered childbearing age in women?
- ANSWERS-Pregnancy:
-ALL PATIENTS OF CHILDBEARING AGE ARE PREGNANCY TESTED PRIOR TO SURGERY
-Always position off vena cava
-Maintain BP for fetal perfusion
-Fetal heart monitoring starting at 20 weeks (viability)
-Braxton hicks are normal after surgery due to uterine manipulation
Normal - ANSWERS-Braxton hicks contractions are _________ after surgery due to uterine
manipulation.
- ANSWERS-CHF:
-Prone to FVO
-NPO and DO NOT take diuretic
-Under anesthesia, they dilate and need fluid
Do not take diuretic - ANSWERS-One special consideration for CHF patients intra-op.
40, 30, 20 - ANSWERS-What BMI is morbid obesity? Regular obesity? Overweight?
, - ANSWERS-Morbid Obesity:
Difficult intubation common
Wound healing compromised
avascular - ANSWERS-Morbidly obese patients naturally have poor wound healing because fat is
____________.
Laryngospasm, inhaler - ANSWERS-Asthma patients are prone to ____________ so patients
should bring their _________.
Oxygen, co2, 90%, 30%, 2 liters - ANSWERS-COPD patients:
Low ______ stimulates breathing, not high _____. o2 sats for these patients should hover
around _____% in order to maintain a respiratory drive. They should have low concentration o2
which is _____% or ____ liters Nasal Cannula. They shouldn't have any more than this because
it takes their drive to breathe away.
500, 45 - ANSWERS-A ventilator is needed post op if a patient is taking a tidal volume less than
_______ ml and/or if the End tidal co2 is greater than _____.
- ANSWERS-Rheumatoid Arthritis:
-Joint immobility
-RA causes anemia
-Steroid coverage puts them at risk for an impaired stress response (Hypo-adrenal crisis)
Anemia, hematocrit, hemoglobin - ANSWERS-Rheumatoid arthritis patients are susceptible to
_________, so a pre-op ______ & _______ are essential.
