Local Anesthesia final exam review with Question and answer 100% verified.

Local Anesthesia final exam review with
Question and answer 100% verified.
normal vital sign parameters for O2? - Correct answer 95-100% SpO2

normal vital sign parameters for CO2? - Correct answer 35-45 mmHg

signs and symptoms of angina? - Correct answer Spontaneous non localized chest pain
that does not get better or worse with painful stimulation
(feels like indigestion, nausea, radiates to neck, jaw, teeth, left arm)

cause of angina? - Correct answer lack of blood to heart muscle (partial occlusion)

tx for angina? - Correct answer give 100%O2
NTG 1 tab (no more than 2)-makes heart work less, dilates coronaries = increase blood
to heart

signs and symptoms of acute myocardial infarction - Correct answer angina that doesn't
get better with NTG
ST segment elevation!!
-palpitations, dyspnea, weakness

cause of myocardial infarction - Correct answer complete occlusion of coronary arteries

tx for acute myocardial infraction - Correct answer call ambulance NOW
MONA while waiting for ambulance (Morphine, oxygen, NTG, aspirin)
Aspirin 325mg chewed not swallowed

signs and symptoms of asystole (non-shockable) - Correct answer no pulse (flat EKG)

causes of asystole (non-shockable) - Correct answer any emergency left unattended or
severe BP drop

tx for asystole? - Correct answer DO NOT SHOCK
CPR (100 compressions/min)
epinephrine 1mg or 1000mcg IV push q 3min

PEA (pulseless electrical activity) signs and symptoms? - Correct answer non-
shockable
EKG shows near normal but no pulse

causes of PEA? - Correct answer any emergency left unattended or sudden bp drop

, tx of PEA? - Correct answer DO NOT SHOCK
CPR (100 compressions/min)
epinephrine 1mg or 1000mcg IV push q 3min

signs and symptoms of seizures? - Correct answer continuous rhythmic stiff shaking,
fixed head, no trunk rotation, urination after sz, cyanosis, open eyes, foaming at the
mouth, DOES NOT REMEMBER EVENT

difference between seizures and PNES (psychogenic nonepileptic seizures) - Correct
answer seizure: does not remember event, rhythmic stiff shaking, urination, cyanosis,
open eyes
PNES: remembers event, nonrhythmic shaking, side to side head movement, NO
urination, NO cyanosis, closed eyes

cause of seizures? - Correct answer abnormal sudden cerebral neuron discharge

tx for seizures? - Correct answer keep them from hurting themselves
diazepam (Valium) 5mg IV=to calm brain down
if 1st time=hospital
if not 1st=let them recover and go home

signs and symptoms of diabetes (hypoglycemia) - Correct answer BS < 60mg/dl
sweating, trembling, tachycardia, nausea, sleepy
can be fatal if untx

causes of diabetes (hypoglycemia) - Correct answer inability to make or utilize insulin or
due to not eating

tx for diabetes (hypoglycemia) - Correct answer if conscious: give carbs
if unconscious: 50% dextrose, (100-BG) * 0.3 = ml to infuse
higher risk of having MI (chance of atherosclerosis)

signs and symptoms of airway fire - Correct answer pop, spark, smoke, heat, odor

cause of airway fire - Correct answer O2 conc > 30% (2L)
dull blurrs in dry environment cutting any hard substance w dry throat pack

tx for airway fire - Correct answer 1. turn off oxygen
2. pour water/saline into airway and suction
3. remove foreign bodies
4. examine airway for residual debris
5. intubate pt (always!) airway might swell!! take to hospital

signs and symptoms of LA toxicity - Correct answer numbness around the mouth and
dizziness
pt hypotensive, bradycardic after.