Answers(GRADED A)
Hypoxia - ANSWER-Deficiency of oxygen in body tissue
Give oxygen prior to anesthesia
Laryngospasm - ANSWER-Reflex of vocal cords to prevent passage of foreign
material (blood/saliva).
Treatment of laryngospasm - ANSWER-1. 100% O2
2. Suction
3. Administer succinylcholine (10-20mg) IV (may precipitate Malignant Hyperthermia)
* In children, succinylcholine should be given with atropine
* Deepen anesthesia (case by case scenario)
Treatment of bronchospasm - ANSWER-1. Epinepherine 1:1000 IM or Sublinugal
2. IV epinepherine 3-5mL of 1:10,000 slowly (severe)
Treatment of hyperventilation - ANSWER-Do NOT give oxygen
Breathe in a paper bag
Treatment of premature ventricular contractions (PVC) - ANSWER-1. Terminate
procedure
2. 100% O2
3. Start IV
4. Atropine (0.5mg) may repeat up to 3mL
5. Lidocaine IV 1.5mg/kg up to 3 mg/kg
Infiltration - ANSWER-Leakage of fluid into tissue
Stop IV and start a new one
Hematoma - ANSWER-Blood leakage
Pressure first then moist heat
Phlebitis - ANSWER-1. inflammation of a vein
2. Treatment: elevation and NSAIDS
Treatment of intra-arterial injection - ANSWER-1. Activate EMS
2. Do NOT remove catheter
3. 10cc 1% Lidocaine withOUT epi
4. Ice pack to limb
Treatment of severe hypoglycemia - ANSWER-1. Activate EMS
2. 1 amp IV glucose (50mL of 50% glucose)
3. IV infusion of dextrose (5-20% in water)
, Treatment of acute adrenal insufficiency (lack of cortisol) - ANSWER-1. Terminate
procedure
2. Vitals
3. Trendelenburg if hypotensive
4. Activate EMS
5. Decadron 4mg IV or IM
6. 10-20mL fluid bolus
Treatment of malignant hyperthermia (genetic transferred myopathy) - ANSWER-1.
Tachycardia is the first sign
2. Activate EMS
3. Hyperventilate 100% 02
4. Dantrolene Sodium 2.5mg/kg rapid
5. IV cold saline 15mL/kg every 15min x3
6. Cold saline lavage to stomach and bladder and rectum
Hypovolemia - ANSWER-Inadequate blood volume.
First sign of tachycardia and increasing hypotension
Epiglottis - ANSWER-Soft tissue valve at the base of the tongue that prevents food
from entering the larynx
Myocardial infarction - ANSWER-Necrosis of tissue of the myocardium resulting from
an interruption in blood supply
Ataractis - ANSWER-Pharmacologic agents producing a tranquilizing effect
QRS complex - ANSWER-Element appearing on a cardiac monitor tracing that
reflects the activity that produces ventricular contraction
Mitral valve - ANSWER-Valve between the left atrium and left ventricle of the heart
that lets blood pass to the left ventricle
Premature Atrial Contractions - ANSWER-Premature firing of an ectopic focus in the
atria producing an early contraction of the atria
Venule - ANSWER-Small vessels that collect blood from networks of capillaries and
join them to form veins
Hypoxia - ANSWER-Low levels of oxygen in body tissues
Pulseless v- tach - ANSWER-Dysrhythmia in which there is a monitor display of
ventricular tachycardia but no contraction
Atrium - ANSWER-Upper chamber of the heart
Capillary - ANSWER-Minute vessels that connect the arterioles and venules forming
a network in nearly all parts of the body.