CAPA END OF COURSE QUESTIONS AND
ANSWERS SURE A+
✔✔Post-op Stroke symptoms - ✔✔- double vision
- headache
- sudden dizziness
✔✔Metoclopramide (Reglan) - ✔✔- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
✔✔Gastrectomy Interventions - ✔✔- encourage deep breaths
- and position shifts
✔✔clonic seizure - ✔✔repetitive jerking movements
✔✔petit mal seizure - ✔✔Also called absence attack. A seizure that is characterized by
a spike-and-wave EEG and often involves a loss of awareness and inability to recall
events surrounding the seizure.
✔✔Tonic seizure - ✔✔sustained muscle contraction
✔✔Emergence excitement safety interventions - ✔✔ok to use wrist restraints
✔✔Shivering first interventions♀️ - ✔✔- anticipate order for demerol
(over warm blankets)
✔✔Septic Shock/ Early Respiratory Distress - ✔✔- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
✔✔Interscalene nerve block - ✔✔anesthetizes the brachial plexus as it passes through
the scalene triangle. It is used to provide anethesia for the shoulder and upper arm.
, Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to
involvment of the phrenic nerve roots as tehy pass through the interscalene sheath.
✔✔Complication of rapid warming - ✔✔Hypotension (rapid vasodilation can cause a
drop in blood pressure)
✔✔Hetastarch (Hespan) - ✔✔- Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
✔✔Why are neonates not tolerant of fluid overload? - ✔✔- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
✔✔Medication used to treat fluid overload/ ascites in patient with Cirrhosis -
✔✔Spironolactone
✔✔Steal syndrome - ✔✔- Too much blood going to the fistula, leaving the hand
ischemic. Tx is with surgery or banding to decrease outflow (if high flow)
✔✔Infant should void - ✔✔5ml/Kg/hr or at least 2-3ml/Kg/hr
✔✔Autonomic hyperreflexia (dysreflexia) - ✔✔- Massive, uncompensated
cardiovascular response to stimulation of the sympathetic nervous system
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
✔✔TURPs - ✔✔- risk for water intoxication
- risk for hyponatremia
- s/s include: SOB, hypoxemia, confusion, nausea, vomiting, muscle twitches,
tachycardia, and hypotension
✔✔intrarenal failure - ✔✔- direct damage to the kidneys by inflammation, toxins, drugs,
infection, or reduced blood supply
(ex..glomerulonephritis)
✔✔orcheopexy - ✔✔procedure to correct testicular torsion
✔✔Piaget's stages of cognitive development - ✔✔1. sensorimotor (18-24 months)
2. preoperational (24 months - 7 years)
3. concrete operational (7 - 12 years)
4. formal operational ( 12 years - adulthood)
ANSWERS SURE A+
✔✔Post-op Stroke symptoms - ✔✔- double vision
- headache
- sudden dizziness
✔✔Metoclopramide (Reglan) - ✔✔- controls post-op NV
- can have extrapyrmidal side effects like tardive dyskinesia
✔✔Gastrectomy Interventions - ✔✔- encourage deep breaths
- and position shifts
✔✔clonic seizure - ✔✔repetitive jerking movements
✔✔petit mal seizure - ✔✔Also called absence attack. A seizure that is characterized by
a spike-and-wave EEG and often involves a loss of awareness and inability to recall
events surrounding the seizure.
✔✔Tonic seizure - ✔✔sustained muscle contraction
✔✔Emergence excitement safety interventions - ✔✔ok to use wrist restraints
✔✔Shivering first interventions♀️ - ✔✔- anticipate order for demerol
(over warm blankets)
✔✔Septic Shock/ Early Respiratory Distress - ✔✔- Hyperventilation
- Respiratory Alkalosis
- Elevated Lactate Levels
✔✔Interscalene nerve block - ✔✔anesthetizes the brachial plexus as it passes through
the scalene triangle. It is used to provide anethesia for the shoulder and upper arm.
, Nearly all patients will devleop transeint ipsilateral diaphragmatic parylasis due to
involvment of the phrenic nerve roots as tehy pass through the interscalene sheath.
✔✔Complication of rapid warming - ✔✔Hypotension (rapid vasodilation can cause a
drop in blood pressure)
✔✔Hetastarch (Hespan) - ✔✔- Volume expander, colloid
- less expensive than blood
- minimal co-ag effects
- less likely to cause allergic reaction
- metabolizes slowly
✔✔Why are neonates not tolerant of fluid overload? - ✔✔- obligate sodium loss
- slow clearance of fluid
- inability to conserve fluid
✔✔Medication used to treat fluid overload/ ascites in patient with Cirrhosis -
✔✔Spironolactone
✔✔Steal syndrome - ✔✔- Too much blood going to the fistula, leaving the hand
ischemic. Tx is with surgery or banding to decrease outflow (if high flow)
✔✔Infant should void - ✔✔5ml/Kg/hr or at least 2-3ml/Kg/hr
✔✔Autonomic hyperreflexia (dysreflexia) - ✔✔- Massive, uncompensated
cardiovascular response to stimulation of the sympathetic nervous system
Stimulation of the sensory receptors below the level of the cord lesion
- Associated with injuries above level T6
✔✔TURPs - ✔✔- risk for water intoxication
- risk for hyponatremia
- s/s include: SOB, hypoxemia, confusion, nausea, vomiting, muscle twitches,
tachycardia, and hypotension
✔✔intrarenal failure - ✔✔- direct damage to the kidneys by inflammation, toxins, drugs,
infection, or reduced blood supply
(ex..glomerulonephritis)
✔✔orcheopexy - ✔✔procedure to correct testicular torsion
✔✔Piaget's stages of cognitive development - ✔✔1. sensorimotor (18-24 months)
2. preoperational (24 months - 7 years)
3. concrete operational (7 - 12 years)
4. formal operational ( 12 years - adulthood)
