DAANCE MODULE V OFFICE ANESTHESIA EMERGENCIES
QUESTIONS & RIGHT ACTUAL ANSWERS 2024 - 25
Hypoxia,,ANS,-
,,Deficiency,of,oxygen,in,tissues.,Can,result,in,cardiac,dysrhythmias,,cardiac,arrest,,neurologic,or,brain,da
mage,and,possible,death
*Occurs,more,rapidly,in,children.
Signs,of,airway,obstruction,,ANS,-
,,Choking,,gagging,,substernal,notch,retraction,,labored,breathing,,rapid,pulse,initially,,then,decreased,pul
se,,respiratory,arrest,,and,cardiac,arrest
Early,treatment,of,airway,obstruction,,ANS,-,,1.,100%,O2,via,nasal,mask
2.,Trendelenburg,position/pack,off,surgical,site
3.,Digital,traction,of,tongue,with,gauze,,tongue,forceps,,a,hemostat,or,tongue,suture
4.,suction,oropharynx
Cricothyrotomy,,ANS,-
,,When,airway,obstruction,persists,after,all,other,methods,for,establishing,an,airway,have,failed,require,a,
surgical,airway.,
*Opening,in,the,cricoid,and,thyroid,cartilages
Steps,of,an,Cricothyrotomy,,ANS,-,,1.,Cleanse,skin
2.,Locate,cricothyroid,membrane,by,palpation
3.,Utilize,the,emergency,Cricothyrotomy,needle/cannula,kit,to,enter,trachea,beneath,vocal,cords,through
,cricothyroid,membrane,
4.,Attach,tube,of,Cricothyrotomy,device,to,an,oxygen,source,such,as,an,anesthesia,machine,or,ambu,bag,
and,ventilate100%,O2
, Laryngospasm,,ANS,-
,,Reflex,of,vocal,cords,that,attempts,passage,of,foreign,matters,,such,as,blood,or,excessive,secretions,into,
the,larynx,,trachea,and,lungs.
Steps,if,laryngospasm,occurs,,ANS,-,,1.,100%,O2,via,nasal,hood
2.,Proper,head,position,to,maintain,airway,
3.,Pack,off,surgical,site
4.,Suction,oral,cavity,and,oropharynx,
5.,100%,oxygen,via,bag/mask,system
6.,Administer,succinylcholine,(Anectine),10-20mg
Succinylcholine,,ANS,-,,Med,that,relaxes,muscles
Atropine,,ANS,-
,,Treats,heart,rhythm,problems,,stomach,or,bowel,problems,,can,decrease,saliva,prior,surgery.
Bronchospasm,,ANS,-
,,a,contraction,of,the,smooth,muscle,in,the,walls,of,the,bronchi,and,bronchioles,that,tighten,and,squeeze,t
he,airway,shut.,
*Patient,has,more,difficult,with,expiration,than,inspiration.,Patient,will,be,wheezing,and,show,labored,br
eathing.
Treatment,for,Bronchospasm,,ANS,-,,1.,100%,O2,via,bag/mask
2.,Albuterol,inhaler,4-8,puffs,every,20min,up,to,4hrs
3.Ipratropium,bromide,(atrovent),2,puffs,,repeat,every,4hrs,
4.,Epinephrine
5.,Intubation/ventilation,(endotracheal,tube,,LMA,,igel,or,combitube),
6.,Dexamethasone,(decadron),4-6mg,
7.,Diphenhydramine,(Benadryl),50mg,IV,
8.,Aminophylline,
QUESTIONS & RIGHT ACTUAL ANSWERS 2024 - 25
Hypoxia,,ANS,-
,,Deficiency,of,oxygen,in,tissues.,Can,result,in,cardiac,dysrhythmias,,cardiac,arrest,,neurologic,or,brain,da
mage,and,possible,death
*Occurs,more,rapidly,in,children.
Signs,of,airway,obstruction,,ANS,-
,,Choking,,gagging,,substernal,notch,retraction,,labored,breathing,,rapid,pulse,initially,,then,decreased,pul
se,,respiratory,arrest,,and,cardiac,arrest
Early,treatment,of,airway,obstruction,,ANS,-,,1.,100%,O2,via,nasal,mask
2.,Trendelenburg,position/pack,off,surgical,site
3.,Digital,traction,of,tongue,with,gauze,,tongue,forceps,,a,hemostat,or,tongue,suture
4.,suction,oropharynx
Cricothyrotomy,,ANS,-
,,When,airway,obstruction,persists,after,all,other,methods,for,establishing,an,airway,have,failed,require,a,
surgical,airway.,
*Opening,in,the,cricoid,and,thyroid,cartilages
Steps,of,an,Cricothyrotomy,,ANS,-,,1.,Cleanse,skin
2.,Locate,cricothyroid,membrane,by,palpation
3.,Utilize,the,emergency,Cricothyrotomy,needle/cannula,kit,to,enter,trachea,beneath,vocal,cords,through
,cricothyroid,membrane,
4.,Attach,tube,of,Cricothyrotomy,device,to,an,oxygen,source,such,as,an,anesthesia,machine,or,ambu,bag,
and,ventilate100%,O2
, Laryngospasm,,ANS,-
,,Reflex,of,vocal,cords,that,attempts,passage,of,foreign,matters,,such,as,blood,or,excessive,secretions,into,
the,larynx,,trachea,and,lungs.
Steps,if,laryngospasm,occurs,,ANS,-,,1.,100%,O2,via,nasal,hood
2.,Proper,head,position,to,maintain,airway,
3.,Pack,off,surgical,site
4.,Suction,oral,cavity,and,oropharynx,
5.,100%,oxygen,via,bag/mask,system
6.,Administer,succinylcholine,(Anectine),10-20mg
Succinylcholine,,ANS,-,,Med,that,relaxes,muscles
Atropine,,ANS,-
,,Treats,heart,rhythm,problems,,stomach,or,bowel,problems,,can,decrease,saliva,prior,surgery.
Bronchospasm,,ANS,-
,,a,contraction,of,the,smooth,muscle,in,the,walls,of,the,bronchi,and,bronchioles,that,tighten,and,squeeze,t
he,airway,shut.,
*Patient,has,more,difficult,with,expiration,than,inspiration.,Patient,will,be,wheezing,and,show,labored,br
eathing.
Treatment,for,Bronchospasm,,ANS,-,,1.,100%,O2,via,bag/mask
2.,Albuterol,inhaler,4-8,puffs,every,20min,up,to,4hrs
3.Ipratropium,bromide,(atrovent),2,puffs,,repeat,every,4hrs,
4.,Epinephrine
5.,Intubation/ventilation,(endotracheal,tube,,LMA,,igel,or,combitube),
6.,Dexamethasone,(decadron),4-6mg,
7.,Diphenhydramine,(Benadryl),50mg,IV,
8.,Aminophylline,
