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1% solution equals - One gram of medication in 100% mL solution. [1g also = 10oomg]
3 characteristics of normal heart rhythms - Rate, regularity, and rhythm.
4 key questions to ask patient in evaluation - Are they currently under physicians care,
do they take any meds, do they have any allergies and reactions they have, review of
systems.
A beta blocker would be given in which emergency? - Hypertension
A fluid bolus of NS and ephedrine can be given with what emergency? - Hypotension
Accessory muscles of respiration - Sternocleidomastoid, scalenes, abs which are most
important.
Addison's disease - Life threatening. Hypo secretion of glucocorticoids.
Additional desirable attributes of anesthetics - Maintenance if homeostasis, rapid,
smooth, comfortable induction, lack of post up nausea/vomiting, retention of reflexes to
prevent aspiration, feeling of well being post op, rapid recovery, easily adapted for use
in children and seniors, easy administration, cost effective.
Adenosine would be given in which emergency? - SVT
Adrenal glad - Secretes epinephrine, norepinephrine, and corticosteroids.
Adrenal glands - Secretes epinephrine and norepinephrine. Controls electrolyte balance
and carb metabolism.
AED - Automatic external defibrillator. Device automatically assesses heart rhythm and
delivers shock if necessary.
Amides - Metabolized in bloodstream. Chemical structure derived from ammonia.
Amiodarone would be given in which emergency? - V. Tach
Amnesia - Failure to remember events related to surgery. Versed/benzodiapines.
Analgesia - Insensitivity to pain. Patient feels no pain during surgical procedure.
(Fentanyl, local, ketamine).
Anemia - Decreased amount of hemoglobin concentration. Below 35%
,Anesthesia machines - Provides O2 and NO2 to the patient. The flow meter determines
ratio and rate at which gases are delivered.
Angina pectoris - Chest pain. Caused by ischemia. Can be treated with nitroglycerin.
Antecubital space - Anterior surface of elbow located between arm and forearm.
Antibiotic prophylaxis for total joint replacement patients - Previous joint infection, 2 yrs
following joint replacement, malnourishment, hemophilia, diabetes type I,
immunosuppressed or immunocompromised patients.
Anticholinergics - Decrease secretion of salivary glands. Block vagus nerve and can
cause tachycardia. (Robinul, atropine, scopolamine).
Anticholinesterases - Reverse effects of depolarizing agents (muscle relaxers)
Anxiolytic - Anxiety reducing.
Anxiolytics - Benzodiazepine family of meds. Cause increased pressure in eye and
should be used with caution on patients with glaucoma.
Aorta - Main trunk from which arterial system proceeds.
Arrest rhythms - Ventricular dysrhythmias
Asthma - Usually associated with allergies. Increased secretions in the muscles
membranes lining bronchioles. Mucus plugs block smaller bronchi making movement of
air in and out if lungs difficult. More difficulty with expiration.
Asystole - Cessation of all contractions. "Flat line" usually follows v. fib or v. tach.
Treated with CPR.
Atropine would be given in which emergency? - Symptomatic bradycardia
Automaticity - Ability of heart muscle to contract on it's own without nerve stimulation.
Autonomic nervous system - Sympathetic and parasympathetic nervous system
AV blocks - PR length is prolonged or varies in length due to impulse being partially or
completely blocked as it attempts to travel from atria to ventricles via AV node.
AV node - Located between atria and ventricles. Bundle of His cause ventricles to
contract.
, Barbiturates - Taken up by body fat and release into system slowly prolonging effects.
Depress respiratory and cardiac function. No analgesic effect and detoxified by liver.
Amnesia and hypnotic effects.
Basic requisites of an anesthesia - Lack if toxicity, non flammable, non addictive,
possess minimal allergenicity.
Basilic veins - Located on inner (medial) aspect of forearm.
Benadryl - Primary drug used in mild allergic reactions.
Best places to check for patients pulse - Carotid arteries and radial arteries.
Beta blockers - Reduce the rate and force of contraction of the heart. (Atenolol)
Black - Nitrogen
Blood pressure - Systolic/diastolic. Normal BP 120/80.
Blue - Nitrous oxide
Brachial artery - Supplies blood to shoulder, arm, forearm, and hand.
Brachiocephalic artery - Branches into right common carotid in neck and right
subclavian artery in arm.
Bradycardia - HR of less than 60 bpm
Brain stem - Pons, medulla oblongata, midrain
Brevital - Ultra short acting barbiturate. 1% solution not highly bound to fat. Side effects:
apnea on induction, laryngospasm, bronchospasm, hypotension, tachycardia, hiccups,
muscle twitching. Use caution with asthma or seizure disorders.
Bronchitis - Inflammation of the mucous membranes lining the bronchial tubes. Sx
should be delayed.
Bronchospasm - Generalized contraction of smooth muscles of small bronchi and
bronchioles in lungs causing restriction of air flow of air to and from lungs.
Brown - Helium
CAC (cardioacceleratory center) - Located within medulla. Sympathetic fibers travel
down spinal cord to SA node. When stimulated release norepinephrine with increases
HR and strength of contractions.