Anesthesia/ Post Anesthesia Care
Assessment
Prepping and Positioning
Equipment Safety
Sterile Technique
and Draping
100

A life-threatening adverse reaction resulting from local anesthetic reaching significant systemic circulating levels

LAST (local anesthesia systemic toxicity)



signs and symptoms? treatment?

100

Name 2 risk factors for patients undergoing surgery who use alcohol

Lowered Immunity

Prolonged Bleeding Times

Increased Stress Response

Cardiac Complications

100

This group of nerves extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit and is at great risk of injury from improper surgical positioning.

brachial plexus

100

Rule of thumb: Where do you place a bovie pad in coordination to the incision site for a patient with a metal implant?

As close to the site as possible without the implant being in the pathway of the current from the bovie

100

Sterility is _________ ___________ not time related

event related

200

This type of anesthesia is injected into the space between the ligamentum flavum and the dura

epidural

200

What are special considerations that should be taken into account when caring for elderly patients (3)

Decreased metabolism of drugs

Thin skin (injury)

Decreased perception of pain

Prone to hypothermia

Co-morbidities

200

Name 3 positions that put patients at risk for impaired gas exchange?

Prone, trendelenburg, lithotomy, lateral, beachchair. jackknife.

200

Inspecting for proper insulation of endoscopic equipment prevents

capacitative coupling

200

Drapes help to reduce

hospital acquired infections

300

What score is used postoperatively to determine readiness for discharge?

Aldrete score

1. Consciousness

Fully awake (2 points)

Arousable (1 point)

Not responding (0 points)


2 Mobility

Able to move four extremities on command (2 points)

Able to move two extremities on command (1 point)

Able to move 0 extremities on command (0 points)

3 Breathing

Able to breathe deeply (2 points)

Dyspnea (1 point)

Apnea (0 points)


4 Circulation

Systemic BP ≠ 20% of the preanesthetic level (2 points)

Systemic BP between 20% and 49% of the preanesthetic level (1 point)

Systemic BP ≠ 50% of the preanesthetic level (0 points)

5 Color

Normal (2 points)

Pale, jaundiced, blotchy (1 point)

Cyanotic (0 points) 

300

Name 2 of the 5 social determinates of health

economic stability

education

social/community context

health and healthcare

neighborhood/ built environment

**know examples of each: economic stability examples are employment, food insecurity, housing instability and poverty.

300

Name 2 intrinsic and 2 extrinsic factors that contribute to the development of a perioperative pressure ulcer

Intrinsic- Age, BMI, co-morbidities, smoker, malnutrition

extrinsic- duration of procedure, position, intensity and duration of applied pressure

300

Name 2 benefits of Robotic Surgery 

more precise movement, arms are more flexible that surgeons wrists, efficient release of instruments d/t quick connections, safer d/t no inadvertent movement of instruments

300

***_______ is an important draping principle used to protect a scrub person's gloves from contamination. 

Cuffing

400

What is the first action the anesthesia personnel takes if malignant hyperthermia is suspected? 

Stop triggering agents

400

Name 3 desired patient outcomes for a patient undergoing surgery

1. Free from infection

2. Maintain normothermia

3. Free from injury

4. Maintained Airway

5. Free from anxiety

400

The goal of the skin prep is to remove soil and _____________ microorgamisms and to reduce the number of ____________ microorganism

Transient

Resident

400

Name 3 precautions that should be taken when utilizing a laser

Eyewear appropriate for the wavelength of laser being used, window coverings, tested before use, kept on standby when not in use, only activated by the operator, warnings signs outside of doors, remove the key from the laser when being stored, use ebonized instruments. 





400

***______ is the term used for when fluid soaks through sterile drapes, gowns, or packages. Items that experience this are contaminated. 

Strikethrough

500

What does ERAS stand for? 

Enhanced Recovery After Surgery

Know the components of ERAS

500

Name a physiologic affect of cannibis as it pertains to these specific systems

CNS: 

Cardiovascular: 

Pulmonary:

GI

CNS: Mild sedative effect Anxiety Paranoia/psychosis Euphoria Dizziness Headache Memory dysfunction Analgesia,  Similar to acute effects, but as tolerance develops, higher doses are needed for similar effects 

CV:Tachycardia Vasodilation Orthostasis Atherosclerosis 

Pulmonary Bronchodilation Hyperactive airway disease Airway edema Chronic bronchitis Emphysema 

Gastrointestinal Antinausea Increased appetite Abdominal pain Hyperemesis

500

Contra indications of Chloraprep

Open wounds

Procedures above the neck

mucous membranes

500

***What are the 3 components of the fire triangle that need to be considered when using electrosurgical devices?

Oxygen 

Ignition Source

Fuel

500

***Give the 4 main rationales for utilization of surgical drapes

1. Provide a fluid and blood-resistant barrier to minimize passage of microorganisms from sterile to unsterile areas. 

2. Helps reduce risk of hospital acquired infections

3. Covers the patient

4. Covers additional equipment that may be utilized or adjacent to the sterile field