CAPA/CPAN exam with answers |\ |\ |\
General anesthesia- |\
states of reversible unconsciousness where protective reflexes
|\ |\ |\ |\ |\ |\ |\
are particle or completely lost, muscle relaxation, sedation, and
|\ |\ |\ |\ |\ |\ |\ |\ |\
amnesia obtained |\
Moderate sedation anesthesia- |\ |\
relaxed, non paralyzed state of analgesia
|\ |\ |\ |\ |\
Regional anesthesia- |\
loss of body sensation to region
|\ |\ |\ |\ |\
Factor in anesthesia selection-
|\ |\ |\
age, physical status, type of surgery, patient wishes, site of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery/body position |\
ASA physical status classification-
|\ |\ |\
the specific risk the patient has to developing a complication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after to the procedure.
|\ |\ |\
ASA 1- |\
normal healthy patient |\ |\
ASA 2- |\
patient with mild, systemic disease...
|\ |\ |\ |\
smoker, pregnancy, obesity, mild drinker
|\ |\ |\ |\
ASA 3- |\
severe systemic disease...poorly controlled DM, HTN, COPD,
|\ |\ |\ |\ |\ |\ |\
obesity, history MI, stents |\ |\ |\
-some disagreement between anesthesia providers
|\ |\ |\ |\
, ASA 4- |\
patient with incapacitating systemic disease. ESRD, severe
|\ |\ |\ |\ |\ |\ |\
cardiac valve dysfunction, stents, sepsis
|\ |\ |\ |\
ASA 5- |\
not expected stop survive without the operation
|\ |\ |\ |\ |\ |\
ASA 6- |\
organ donor, patient passed as brain dead
|\ |\ |\ |\ |\ |\
"E" ASA status-
|\ |\
emergency patient with unknown history. |\ |\ |\ |\
this can be added to any of the statuses
|\ |\ |\ |\ |\ |\ |\ |\
Stage 1 of anesthesia- |\ |\ |\
-analgesia stage- |\
conscious and rational, follows simple commands, perception of
|\ |\ |\ |\ |\ |\ |\ |\
pain is diminished but reflexes are intact
|\ |\ |\ |\ |\ |\
Stage 2 of anesthesia- |\ |\ |\
-delirium- unconscious, body responds reflexively, pupils dilated,
|\ |\ |\ |\ |\ |\ |\
breath holding, respirations irregular, muscle tone intact.
|\ |\ |\ |\ |\ |\
most at risk for laryngospasm and aspiration. also MI
|\ |\ |\ |\ |\ |\ |\ |\
Stage 3 of anesthesia- |\ |\ |\
-surgical anesthesia- |\
increasing degrees of muscular relaxation, unable to protect
|\ |\ |\ |\ |\ |\ |\ |\
airway
Stage 4 of anesthesia- |\ |\ |\
-medullary depression- |\
depression of cardiovascular and respiratory centers |\ |\ |\ |\ |\
considered overdose |\
General anesthesia- |\
states of reversible unconsciousness where protective reflexes
|\ |\ |\ |\ |\ |\ |\
are particle or completely lost, muscle relaxation, sedation, and
|\ |\ |\ |\ |\ |\ |\ |\ |\
amnesia obtained |\
Moderate sedation anesthesia- |\ |\
relaxed, non paralyzed state of analgesia
|\ |\ |\ |\ |\
Regional anesthesia- |\
loss of body sensation to region
|\ |\ |\ |\ |\
Factor in anesthesia selection-
|\ |\ |\
age, physical status, type of surgery, patient wishes, site of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
surgery/body position |\
ASA physical status classification-
|\ |\ |\
the specific risk the patient has to developing a complication
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after to the procedure.
|\ |\ |\
ASA 1- |\
normal healthy patient |\ |\
ASA 2- |\
patient with mild, systemic disease...
|\ |\ |\ |\
smoker, pregnancy, obesity, mild drinker
|\ |\ |\ |\
ASA 3- |\
severe systemic disease...poorly controlled DM, HTN, COPD,
|\ |\ |\ |\ |\ |\ |\
obesity, history MI, stents |\ |\ |\
-some disagreement between anesthesia providers
|\ |\ |\ |\
, ASA 4- |\
patient with incapacitating systemic disease. ESRD, severe
|\ |\ |\ |\ |\ |\ |\
cardiac valve dysfunction, stents, sepsis
|\ |\ |\ |\
ASA 5- |\
not expected stop survive without the operation
|\ |\ |\ |\ |\ |\
ASA 6- |\
organ donor, patient passed as brain dead
|\ |\ |\ |\ |\ |\
"E" ASA status-
|\ |\
emergency patient with unknown history. |\ |\ |\ |\
this can be added to any of the statuses
|\ |\ |\ |\ |\ |\ |\ |\
Stage 1 of anesthesia- |\ |\ |\
-analgesia stage- |\
conscious and rational, follows simple commands, perception of
|\ |\ |\ |\ |\ |\ |\ |\
pain is diminished but reflexes are intact
|\ |\ |\ |\ |\ |\
Stage 2 of anesthesia- |\ |\ |\
-delirium- unconscious, body responds reflexively, pupils dilated,
|\ |\ |\ |\ |\ |\ |\
breath holding, respirations irregular, muscle tone intact.
|\ |\ |\ |\ |\ |\
most at risk for laryngospasm and aspiration. also MI
|\ |\ |\ |\ |\ |\ |\ |\
Stage 3 of anesthesia- |\ |\ |\
-surgical anesthesia- |\
increasing degrees of muscular relaxation, unable to protect
|\ |\ |\ |\ |\ |\ |\ |\
airway
Stage 4 of anesthesia- |\ |\ |\
-medullary depression- |\
depression of cardiovascular and respiratory centers |\ |\ |\ |\ |\
considered overdose |\
