From where does the circulating RN obtain orders for medication or solution to be used in the OR?
What is Verbal orders from the surgeon, or from the surgeon’s preference card.
100
List two common types of steroidal (anti-inflammatory) agents used in the OR.
What is Solu-Cortef; Solu-Medrol; Depo-Medro; Aristocort, Kenalog; Decadron
100
The most accurate test for MH susceptibility.
What is the halothane/caffeine contracture test.
100
The short-acting, depolarizing muscle relaxant which causes fasciculation.
What is Succinylcholine (anectine)
100
How is dantrolene reconstituted?
What is One 20mg vial of dantrolene may be reconstituted with 60ml sterile water.
200
How is medication delivered to the back table?
What is Delivered by use of sterile technique using a syringe or sterile transfer device
200
The main reason that anti-inflammatory agents are used in the OR.
What is To reduce inflammation and post-op edema at operative site
200
The most sensitive indicator when diagnosing Malignant Hyperthermia.
What is Increase in End-tidal CO2
200
The three phases of anesthesia.
What is Induction, Maintenance, Emergence
200
A 26-year-old Caucasian male is in the OR for a cholecystectomy procedure. Thirty minutes after the patient receives anectine he develops tachycardia and masseter muscle rigidity. The CRNA also reports a rise in the patient’s ETCO2. What is the FIRST intervention for this patient?
What is Immediately discontinue all triggering agents (inhalation anesthetics and anectine).
300
You are about to administer the local medication to the scrub person at the sterile field. What four factors must you read out aloud?
What is Name of the medication, Strength of the medication, Dose to be given, and Medication expiration date.
300
Irrigation solutions used in the OR.
What is Normal saline, glycine, sterile water
300
The drug of choice for treatment for Malignant Hyperthermia.
What is Dantrolene / Dantrium Sodium
300
Types of Regional Anesthesia
What is
Spinal
Epidural
Bier blocks
Upper or lower extremity blocks
Eye block
300
The purpose of the insufflator
What is Expand the abdominal cavity in laparoscopic procedures.
400
Why are hemostatic agents used in the OR
To reduce capillary bleeding and assist in blood clotting
400
Medications used to visualize internal structures during surgery, such as the common/cystic duct, or ureters
What is Diagnostic Imaging Agents e.g. Renographin/ Hypague, Isovue
400
Three early signs of Malignant Hyperthermia.
What is Unexplained tachycardia, muscle rigidity, and ETCO2 elevation.
400
Part of the body where Bier Blocks are performed
What is The limbs, mostly the upper arms
400
MHAUS recommends that this number of vials of IV dantrolene be kept available at all times.
What is 36 vials of dantrolene.
500
An adverse reaction to penicillin when administered topically
What is Tissue damage
500
The three common medication dyes that are used in the OR to stain or mark a specific area.
What is Methylene Blue; Indigo Carmine; Lugols Solution
500
A late sign of Malignant Hyperthermia.
What is Hyperthermia
500
Advantages of using a LMA (laryngeal mask airway).
What is
Faster recovery time
Avoids a sore throat
No need for muscle relaxants and laryngoscope
Easy to use
Good for short procedures.
Cost effective
500
A rare life-threatening complication that may be triggered by drugs commonly used in anesthesia.