Preop
Complication of regional anesthesia
What is local anesthesia toxicity
The initial sign of Malignant Hyperthermia
The unexplained rise in end tidal CO2
Name the certifications for PACU nursing
What are CPAN (certified post anesthesia nurse) & CAPA (certified ambulatory perianesthesia nurse)
Patients may experience this post extubation especially if their airway is irritated by secretions
What is laryngospasm
Intense shivering can increase heat production up to
a. 10%
b. 50%
c. 100%
d. 500%
d. What is 500%
Permission granted in the knowledge of the possible consequences for treatment with full knowledge of the risks and benefits
What is Informed Consent
Dantrolene is reconstituted using ________ for injection without bacteriostatic agent
What is sterile water
Name 3 competencies required for Phase I PACU nurses
What is BLS, ALS, PALS
The phase a patient is in just prior to discharge home from the PACU
What is Phase 2
This narcotic is 7 times more potent than Morphine
What is Dilaudid
Treatment for local anesthesia toxicity
What is IV intralipids
Watch for this coagulopathy, especially if hyperthermia is > 42 degrees C (107.6F)
What is DIC
The certification organization for perianesthesia nurses
What is ABPANC (the American Board of Perianesthesia Nursing Certification)
The antagonist for opioids and initial dose
What is Narcan or Naloxone and 0.4mg
Conducted prior to any procedure for all patients for patient safety
What is a Time Out and Site Verification
Preoperatively, the patient is under the preanesthesia nurse's care until:
Handoff has occurred and the patient has been transferred to the OR
Persons with this disorder have a higher likelihood of experiencing MH
What are central core diseases such as (Duchene) Muscular Dystrophy or Myostonia
Patient discharge education for postoperative nausea & vomiting includes:
1. turning head to the side
2. taking several quick breaths
3. awareness of future risk
4. avoiding essential oils
3. Awareness of future risk
During recovery from spinal anesthesia, the patient denies sensation below his umbilicus. The perianesthesia nurse identifies the dermatome level as:
a. T4
b. T10
c. L1
d. S2
b. T10
This medication is given to reverse the effect of muscle relaxants given during surgery but may alter the effect of birth control methods for women for 7 days after administration
What is Sugammadex
A 27 year old female comes in on the day of surgery for a D&C for a miscarriage. Her lab results reveal that her blood type is A-. This should be ordered to give post op.
What is Rhogam
Loading dose of Dantrolene
What is 2.5mg/kg
Benefits include: free continued education articles, reduced cost for certification exam fees, discounts on seminars and webinars, subscription to Journal of Perianesthesia Nursing, subscription to Breathline, collaboration with peers, and much more
What is ASPAN membership
3 Early signs of Hypoxia in the adult
What are restlessness, confusion, and anxiety
The stage of anesthesia during which the patient is at most risk to harm themselves
What is Stage 2