Test reviewing the material for Test #3 in principles class.
215 L
1590 L
795 L
530 L
A generalized reversible depression of the central nervous system such that perception of all senses is removed.
Production of an abnormal state that satisfies the requirements for the carrying out of surgical and diagnostic procedures.
A state characterized by unconsciousness, analgesia, muscle relaxation, and depressed reflexes.
The period of time from the end of induction to the time of decreasing anesthetic depth to allow awakening.
Rapid Loss of consciousness
Production of paralysis
Progression to a light surgical plane of anesthesia
Progression to a deep surgical plane of anesthesia
Sedated-unconscious
Light Anesthesia
Minimal Anesthesia
Depression- Excitation
Depression-Excitation
Sedated-unconscious
Deep anesthesia
Minimal anesthesia
Deep Anesthesia
Light Anesthesia
Minimal Anesthesia
Sedated- unconscious
Inhalational induction
IM injection
Intravenous induction
Administration of oral agents.
By monitoring the patients O2 saturation.
By looking at your ETCO2
By using a colorimetric CO2 analyzer
By observing the percent O2 present in expired gas using an O2 analyzer.
Awake intubation under topical anesthesia
Inhalational induction and plan to mask the entire case
Rapid sequence induction and having a glide scope ready
Call the MDA to intubate this patient.
To maintain stable body temperature
To maintain an adequate and normal level of stress response
To provide suitable operating conditions for the surgeon
To maintain appropriate fluid and electrolyte balances
Maintained at basal levels
Within 20% of basal levels
Within 10% of basal levels
Slightly more than basal levels.
Onset of respiratory efforts
Changes in peak inspiratory pressure
Appearance of an end inspiratory pause
Increase in ETCO2
In the center of forehead, 2 inches from bridge of nose
At the patients temple, level with their eye
Directly above the patients eyebrow.
On the right side of the pts face, adjacent to electrode #2
In the center of forehead, 2 inches from bridge of nose
At the patients temple, level with their eye
Directly above the patients eyebrow.
On the right side of the pts face, adjacent to electrode #1
Reduction in use of anesthetic agent
Reduction of tourniquet time
Decreased emergence time
Decrease in post-op nausea and vomiting
A single number derived from EG recording using a single signal processing technique, updated every 15 seconds.
Multiple numbers derived from multiple EEG recordings updated every minute
A value based on the EEG recordings of the prior minute and derived from multiple signal processing techniques, updated every second.
100
30
70
50
0
20
30
40
0
76
98
54
Increase BP & HR, BIS may or may not increase
BIS will not change, BP and HR will increase
BIS will increase, BP and HR will stay same
BIS will increase, BP & HR will decrease
60
80
70
100
Total intravenous anesthesia
Trauma or emergency surgery
ASA status 2 or 3
Chronic Pain Patient
Propofol 100 mg Sux 10 mg
Etomidate 20 mg Vec 100 mg
Propofol 200mg Vec 10 mg
Etomidate 200 mg Sux 150 mg
Stage 5
Stage 1
Stage 3
Stage 4
Stage 2
Stage 1
Stage 4
Stage 3
Stage 4
Stage 3
Stage 2
Stage 1
Acute ETOH intoxication
Pregnancy
Hyperthermia
Use of benzo’s
Increase MAC
Decrease MAC
I’m just glad Fat Albert is finally seeking help.
Nothing, thyroid dysfunction does not affect MAC.
40-60
60-70
80-100
15-30
Put on a non-rebreather mask with 100% O2 and wheel him to the PACU
Give 100% O2 via face mask, use the bag to apply some positive pressure, and apply jaw thrust.
Re-intubate him immediately and then extubate at a higher stage of anesthesia.
Give an albuterol treatment.
Get a sign language interpreter in to help you explain things to him so that he will let you start an IV.
Have the nurses held to hold him down so you can start an IV and then tape the hell out of it so he can’t get it out.
Use a ketamine dart to calm him, then start your IV and induce the pt.
Wait for him to fall asleep… then gas the hell out of him.
Cataract surgery on an 78 yr old Female
Pacemaker insertion on 56 yr old male
Bone marrow biopsy on 5 yr old female
Open hysterectomy on a 43 yr old female
4
6
0
2
Question the MD, that's too much Lido
Question the MD, that's too much Epi
Question the MD, we don't mix Lido and Epi
Nothing
Rate this question:
30 mg
210 mg
120 mg
300 mg
Propofol 10-20mg boluses as needed
Start with propofol 2mg/kg bolus, then give 10 mg PRN as needed
Start propofl infusion 60 mcg/kg/min
Start with propofol bolus 10-20mg then start infusion of 50 mcg/kg/min
Just sit and wait, there is no way to reverse them.
Flumazenil 0.2 mg IV over 15 seconds, may give up to 1 mg.
Narcan 2mg IV
Neostigmine .08 mg/kg given with glycopyrolate
Just sit and wait, there is no way to reverse them.
Flumazenil 0.2 mg IV over 15 seconds, may give up to 1 mg.
Narcan 2mg IV
Neostigmine .08 mg/kg given with glycopyrolate
L1
L5
L3
L2
L1-L2
L3
L5
Sacral Hiatus
L1-L2
L3
L5
Sacral Hiatus
Dural Headache
Spinal that works better on one side than other
Uncal Herniation
‘Popping’ upon insertion of epidural needle
At L1
Below level of L1
Can be performed at any level
Identify Tuffiers line an insert there.
Can be performed at any level
At level of T 12
At L1
Below level of L1
True
False
T6, T10
T 4, T6
T10, T6
T10, T12
No, they are at increases risk for dural puncture headache.
Yes, this is considered a safe level of sympathetic blockade.
No, the patient is at risk for profound bradycardia.
No, the level of blockade is inadequate.
No, they are at increases risk for dural puncture headache.
Yes, this is considered a safe level of sympathetic blockade.
No, the patient is at risk for profound bradycardia.
No, the level of blockade is inadequate.
Nope, amount of anesthetic used will stay the same.
You will require more anesthetic to reach the desired effect.
This is a contraindication to epidural anesthesia, I would not do the block.
I would expect to use less anesthetic.
Mrs. A what has severe mitral stenosis.
Mr. B who has advanced HIV disease
Mrs. C who weighs 350 pounds.
Mr. D who suffers from chronic back pain.
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