CAPA EXAMS TEST PAPER ANSWERS AND
QUESTIONS SET A+
✔✔Monitor for after pituitary tumor surgery - ✔✔- hypothermia or hypothermia due to
hypothalmic influences
✔✔cause of hypothermia - ✔✔- vasodilating anesthetic agents
- neuromuscular blocking agents
- cool IV fluids
OPIOIDS DO NOT DECREASE TEMP
✔✔Most high risk surgery for PONV - ✔✔- ear surgeries like "stapedectomy"
✔✔PONV treatments - ✔✔- Graniston
- Dolasetron
- Haloperidol
- Lorazepam
✔✔Side effects of Scoplamine - ✔✔- confusion
- disorientation
- hallucinations
- dysphoria
- dry mouth
- visual disturbances
✔✔Significant fever - ✔✔38.3 * C or 101 * F
✔✔Most common symptom of MH - ✔✔hypercarbia
✔✔First action to treat MH - ✔✔d/c ALL TRIGGERING AGENTS......then high flow O2
✔✔Why are infants @ high risk for hypothermia? - ✔✔Lack of shiver response before
age 3 months
, ✔✔Used to treat hyperkalemia in MH - ✔✔IV insulin and glucose
✔✔Chicken pox precaution type - ✔✔airborn
✔✔How long should MH patients be monitored for - ✔✔24-48hrs
✔✔2nd nurse in moderate sedation - ✔✔- no additional responsibilities other than
monitoring the patient
✔✔Neuromuscular blocking agents - ✔✔Succinylcholine, Rocuronium
✔✔What potentiates neurmuscular blocking agents - ✔✔- respiratory acidosis
- dehydration
- hypercapnia
- hypokalemia
- hyponatremia
- hypermagnesia
- hypothermia
✔✔urinary sign of MH - ✔✔- cola colored urine due to breakdown of myglobulins
✔✔what population is at high risk MH - ✔✔pts with muscle disease
✔✔MH patients should be monitored for how long after anesthesia - ✔✔1-1.5hs
✔✔Average time it takes for MH to present - ✔✔3 hours
✔✔States with the highest incidence of MH - ✔✔Wisconsin, Michigan, West Virgina
✔✔MH treatment flow - ✔✔hyperventilate patient --> administer dantrolene --> treat
hyperkalemia (with insulin and glucose--> rapidly cool
✔✔What gas causes rapid emergence - ✔✔Sevoflurane
✔✔What do you mix dantrolene with? - ✔✔- sterile water
- NO PRESERVATIVES!
✔✔Short acting vs long acting - ✔✔- Rocuronium - SHORT ACTING
- Pancuronium - LONG ACTING
✔✔Why use Ropivicaine - ✔✔- less effect on motor neurons
- less cardio toxic
✔✔Contraindication to versed - ✔✔- previous MI patients
QUESTIONS SET A+
✔✔Monitor for after pituitary tumor surgery - ✔✔- hypothermia or hypothermia due to
hypothalmic influences
✔✔cause of hypothermia - ✔✔- vasodilating anesthetic agents
- neuromuscular blocking agents
- cool IV fluids
OPIOIDS DO NOT DECREASE TEMP
✔✔Most high risk surgery for PONV - ✔✔- ear surgeries like "stapedectomy"
✔✔PONV treatments - ✔✔- Graniston
- Dolasetron
- Haloperidol
- Lorazepam
✔✔Side effects of Scoplamine - ✔✔- confusion
- disorientation
- hallucinations
- dysphoria
- dry mouth
- visual disturbances
✔✔Significant fever - ✔✔38.3 * C or 101 * F
✔✔Most common symptom of MH - ✔✔hypercarbia
✔✔First action to treat MH - ✔✔d/c ALL TRIGGERING AGENTS......then high flow O2
✔✔Why are infants @ high risk for hypothermia? - ✔✔Lack of shiver response before
age 3 months
, ✔✔Used to treat hyperkalemia in MH - ✔✔IV insulin and glucose
✔✔Chicken pox precaution type - ✔✔airborn
✔✔How long should MH patients be monitored for - ✔✔24-48hrs
✔✔2nd nurse in moderate sedation - ✔✔- no additional responsibilities other than
monitoring the patient
✔✔Neuromuscular blocking agents - ✔✔Succinylcholine, Rocuronium
✔✔What potentiates neurmuscular blocking agents - ✔✔- respiratory acidosis
- dehydration
- hypercapnia
- hypokalemia
- hyponatremia
- hypermagnesia
- hypothermia
✔✔urinary sign of MH - ✔✔- cola colored urine due to breakdown of myglobulins
✔✔what population is at high risk MH - ✔✔pts with muscle disease
✔✔MH patients should be monitored for how long after anesthesia - ✔✔1-1.5hs
✔✔Average time it takes for MH to present - ✔✔3 hours
✔✔States with the highest incidence of MH - ✔✔Wisconsin, Michigan, West Virgina
✔✔MH treatment flow - ✔✔hyperventilate patient --> administer dantrolene --> treat
hyperkalemia (with insulin and glucose--> rapidly cool
✔✔What gas causes rapid emergence - ✔✔Sevoflurane
✔✔What do you mix dantrolene with? - ✔✔- sterile water
- NO PRESERVATIVES!
✔✔Short acting vs long acting - ✔✔- Rocuronium - SHORT ACTING
- Pancuronium - LONG ACTING
✔✔Why use Ropivicaine - ✔✔- less effect on motor neurons
- less cardio toxic
✔✔Contraindication to versed - ✔✔- previous MI patients
