UPDATED Exam Questions and
CORRECT Answers
Nitrous oxide is a ___ gas which makes it useful as an inhalation ___ in settings like ____ -
CORRECT ANSWER - sweet-smelling
adjunct
dentistry
Gases that are pungent are ___ and may be ___ to the airway, causing pts to ___ or worse,
develop ____ - CORRECT ANSWER - difficult to inhale
irritating
cough
laryngospasms
is N2O flammable? explosive? - CORRECT ANSWER - no and no, but it can sustain a fire
t/f: nitrous oxide is the least potent inhalation anesthetic, but it can still reach 1 MAC -
CORRECT ANSWER - false. it IS the least potent, but it can never reach 1 MAC
N2O is largely ___ in blood with a BGC of ___. This accounts for its ___ onset and offset -
CORRECT ANSWER - insoluble
.47
rapid
What two effects make N2O extremely useful? - CORRECT ANSWER - second gas effect
additive effect
, Explain the additive effect - CORRECT ANSWER - N2O reduces the MAC % requirements
for sevo, iso, and des when they are used together. recall the MAC values are about half when
N2O is given concurrently at 70%
Explain how N2O can lead to diffusion hypoxia on emergence - CORRECT ANSWER - due
to its blood insolubility, it leaves the very quickly and enters the alveoli on emergence. it
overwhelms the o2 in the alveoli which may fall below 21%
How can anesthetists avoid diffusion hypoxia from N2O on emergence? - CORRECT
ANSWER - increase the FiO2
How are nitrous tanks filled? (2) - CORRECT ANSWER - 90% liquid nitrous
above the liquid is N2O vapor/gas
How much gaseous N2O will a full e-cylinder produce at 1 atm? - CORRECT ANSWER -
1590L
As long as the liquid nitrous remains in the tank and the temp is stable at ___ C, the pressure in
the tank will always be ___ - CORRECT ANSWER - 20C
745 psig
When does boyle's law apply to N2O tanks? - CORRECT ANSWER - when all the liquid in
the tank is gone
When there is only gas left in the N2O cylinder and the psig reads 745, how much gas is left? -
CORRECT ANSWER - about 5 liters
How can you tell how much nitrous is left in a tank? - CORRECT ANSWER - feel it. the
portion of the tank with liquid still in it will be cold to the touch, while the portion with gas will
feel room temp