PTA Meds
Benadryl taken for sleep can cause
What is delayed awakening
The perianesthesia nurse's best approach to minimizing anxiety in a child who has autism is to:
a. initiate the admission process quickly
b. provide a quiet environment
c. offer several choices
d. reduce parental contact as much as possible
B. Provide a quiet environment
The incidence of postdural puncture headache is more common when:
a. the patient moves during the procedure
b. sterile field isn't maintained
c. dextrose is used
d. a larger size needle is used
A larger size needle is used
Pediatric patients are generally not considered febrile until they reach a temperature of 100.4F or higher
a. true
b. false
True
The color of Dantrolene when it is mixed
What is orange
Ginkgo biloba taken to improve memory increases
What is bleeding by inhibiting clotting
While caring for a postop patient with sickle cell disease, the priority nursing interventions are to prevent:
a. hypothermia & hypoxia
b. hyperthermia & hypovolemia
c. hyperthermia & hypoxia
d. hypervolemia & hyperkalemia
Hypothermia & Hypoxia
Vasoconstrictors such as epinephrine may be added to local anesthesia to
Prolong the duration of the block
Bradycardia in children is most often the result of
What is Hypoxia
Triggers of Malignant Hyperthermia
Succinylcholine, desflurane, sevoflurane, Enflurane, halothane, Isoflurane
This should be considered for patients taking chronic steroids to prevent adrenal insufficiency/crisis
Patients should take their usual dose before surgery and anesthesia should consider IV glucocorticoids, hydrocortisone
Parents of a child who has had a tonsillectomy should be instructed to expect:
a. the child to be in bed for the next week
b. slight ear pain for a few days
c. the child will return to school in 4 days
d. some bleeding in 14 to 18 days
Slight ear pain for a few days
Used to assess the resolution of spinal anesthesia
What is dermatome levels
A previously healthy 5 year old presents with a heart rate of 55 in the PACU. Your immediate action should be to
Assess patient for adequate oxygenation and ventilation
Calculate the aldrete score for a patient who
1. moves all extremities voluntarily
2. exhibits limited/ shallow breathing
3. has a blood pressure comparable to baseline
4. patient is aroused when you call their name
5. requires supplemental O2 to maintain an oxygen saturation of greater than 90%
What is 7
This class of drug reduces cardiac events and mortality. They control BP, help treat dysrhythmias and prevent cardiac ischemia. Abrupt discontinuation may cause rebound hypertension
What are Beta Blockers
The most common causes of V Tach in PACU are:
a. hypoxia, heart disease, or drug toxicity
b. pain and anxiety
c. nausea & vomiting
d. hypovolemia & decreased kidney function
Hypoxia, heart disease or drug toxicity
Nursing considerations/discharge teaching when caring for a patient who had a peripheral nerve block include all of the following except:
a. assess motor & sensory levels frequently
b. monitor pt for bladder distention
c. maintain joints in proper alignment
d. support the blocked extremity when changing patient's position
B. Monitor patient for bladder distention
In what age does pediatric emergence delirium occur most frequently
What is 2 to 5 years
The inhaled medication commonly used for stridor or airway edema especially in pediatric patients
What is racemic epinephrine
Patients taking this class of drugs are at potential risk postoperatively for: psychosis, depression, increased metabolic rate which requires increased need for adequate gas exchange, increased cardiovascular workload which may cause dysrhythmias, and altered temperature regulation which puts them at risk for MH
hint: stimulant
Neuro-enhancing stimulants such as Adderall or Ritalin
The perianesthesia nurse recognizes that upon a patient's arrival to the pacu, a side effect of Ketamine is:
a. decreased muscle tone
b. hypotension
c. marked salivation
d. nausea & vomiting
What is marked salivation
This syndrome is a side effect/complication of an interscalene block which includes: ptosis, miosis, nasal congestion, increased skin temperature
What is Horners Syndrome
The stage of anesthesia that includes loss of consciousness, irregular respirations and increase potential for laryngospasm
What is Stage 2
Factors that may contribute to a prolonged neuromuscular blockade are:
a. hypothermia
b. acidosis
c. renal or hepatic disease
d. all of the above
all of the above