Exam (elaborations)
2024 INTRO TO NURSE ANESTHESIA EXAM 1 WITH CORRECT ANSWERS
- Course
- Institution
2024 INTRO TO NURSE ANESTHESIA EXAM 1 WITH CORRECT ANSWERS
[Show more]
Content preview
2024 INTRO TO NURSEANESTHESIA EXAM 1 WITH
CORRECT ANSWERS
Three major barriers to the expansion of the role of surgery in medicine -
CORRECT-ANSWERS-Infection (and its control)
-Hemorrhage and Shock (control and treatment)
-Pain Control
Role of the Surgeon (19th Century) - CORRECT-ANSWERS-bottom of the
medical hierarchy
-Before the 16th century, he was frequently the town barbers
-most surgical interventions were limited to amputations, removal of
superficial growths and tumors, c-sections
ASA Physical Status Classification System - CORRECT-ANSWERS-A six-
category physical status classification system for assessing a patient's risk.
-Standardize how we think about patients
ASA 1 - CORRECT-ANSWERSA normal healthy patient
ASA 2 - CORRECT-ANSWERSA patient with mild systemic disease, well
controlled
Ex: Mild diseases only without substantive functional limitations. Current
smoker, social alcohol drinker,
pregnancy, obesity (30<BMI<40), well-controlled DM/HTN, mild lung disease
ASA 3 - CORRECT-ANSWERSSevere systemic disease, functional limitations
Ex: One or more moderate to severe diseases. Poorly controlled DM or HTN,
COPD, morbid obesity (BMI ≥40), active hepatitis, alcohol dependence or
abuse, implanted pacemaker, moderate reduction of ejection fraction, ESRD
undergoing regularly scheduled dialysis, history (>3 months) of MI, CVA, TIA,
or CAD/stents.
ASA 4 - CORRECT-ANSWERSSevere systemic disease, constant threat to life
Ex: Recent (<3 months) MI, CVA, TIA or CAD/stents, ongoing cardiac
ischemia or severe valve dysfunction, severe reduction of ejection fraction,
shock, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis
, ASA 5 - CORRECT-ANSWERSA moribund patient who is not expected to
survive without the surgery
Ex: Ruptured abdominal/thoracic aneurysm, massive trauma, intracranial
bleed with mass effect, ischemic bowel in the face of significant cardiac
pathology or multiple organ/system dysfunction
ASA 6 - CORRECT-ANSWERSDeclared brain dead, organ procurement
procedure
ASA in emergencies - CORRECT-ANSWERSThe addition of "E" denotes
Emergency surgery
Types of Regional Anesthesia - CORRECT-ANSWERSSpinal
Epidural
Local Infiltration
Peripheral Nerve Block
Spinal - CORRECT-ANSWERSSingle-injection into the CSF
Smaller dose-profound effects
appropriate space (usually L3-L4, L2-L3, or L4- L5)
Side Effects: Hypotension
Epidural - CORRECT-ANSWERSContinuous, catheter-based, into the epidural
space
Ex: C-section, vaginal delivery, post opt pain after lung surgery
Test Dose: 3ml 1.5% lidocaine + 1:200,000 epi
(used to ensure we are not in the wrong spot, non in CSF or intra-vascular)
Local infiltration - CORRECT-ANSWERSSupplement blocks
Combined Technique
12 hrs: good for post opt. pain control
Peripheral Nerve Block - CORRECT-ANSWERS-Extremities
-injection
-with or without sedation
Informed Consent - CORRECT-ANSWERSElements of Anesthesia Informed
Consent Process:
-Competence and decision-making capacity
-Disclosure of information
-Understanding of disclosed information
-Voluntary Consent
-Documentation
Pain Control (prior to the 19th century) - CORRECT-ANSWERS-Alcohol
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
74735 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now