Antibiotics and Irrigation Solutions
3
This anticoagulant requires an independent double check prior to injecting into the saline solution
Heparin
Most common trigger for malignant hyperthermia
succynocholilne
This must be used to deliver medications to the field
sterile transfer device (vial/bag-o-jet)
A patient on long term steroid use preoperatively is more prone to what complication?
wound infection
Most common method antibiotics are administered intraoperatively?
irrigation
Absorbable gelatin foam can increase a paitents risk for _________ ___________ due to blood residue at the site.
wound infection
Benzodiazepine reversal agent
flumazenil
lidocaine versus bupivacaine:
Which one has a faster onset?
Which has a longer duration?
lidocaine- 2-5 min onset. 2 hour duration (3 w/epi)
Marcaine-5-10 min onset. 4-8 hour duration
Otic agents should be stored at _______ _______ to prevent pain and exacerbation of symptoms
room temperature
This type of solution should not be used in the cranium
Saline
What is the heparin reversal agent?
Protamine
Most reliable early indication of malignant hyperthermia?
increased end tidal CO2
What types of blood products need to be kept cold versus room temperature
cold- RBC, FFP
room temp- platelets and cryo
Precipitation will occur if lactated ringers is mixed with this vasodilator
papavarine
Patients are at an increased risk for a reaction to ___________ __________ if they have an allergy to iodine or shellfish
radiographic dyes
After spiking a bag of solutions, it should be used within how long?
1 hour
After the completion of the bier block, the tourniquet is released slowly to?
prevent a bolus of medication and lactic acid build up from entering into the blood stream
causes CV/CNS toxicity- blindness
What 3 types of personnel can check blood in the OR
RN, licensed provider, perfusionist
Appropriate PPE when handling chemotherapy agents
(4 things)
double gloving
mask
eyewear
impervious gown
Excessive amounts of irrigation used for procedures could lead to _____________ and ___________
hypervolemia
hyponatremia
Topical hemostatic agents, including bone wax, fibrin sealants, gelatin, microfibrillar collagen and oxidized cellulose, should not be aspirated into?
autologous blood salvage units (cell saver).
Number one priority in the treatment of Local Anesthesthetic Toxicity
Airway management
Then- IV, T-burg, and valium
If a med is drawn up off of the sterile field in a separate container than the original, the label must include which 5 components.
name,
Concentration
Date prepared
expiration date if not used within 24 hours/Some within a few hours
initial of RN preparing
_________ agents are used to constrict pupils and to reduce intraocular pressure
Miotic