AORN Periop 101 Final

AORN Periop 101 Final Who can provide anesthesia care? (4) - Answer- 1. Anesthesiologists 2. CRNA's 3. Anesthesia assistants 4. Periop nurses 4 types anesthesia - Answer- General - loss of consciousness Regional - loss of sensation Local - small area loss of sensation MAC - IV Whose responsibility during MAC to monitor pt? - Answer- RN What should RN monitor during MAC? (3) - Answer- 1. Extravasation of IV 2. Reduction of arterial O2 sat 3. Difficulty breathing 4 Stages of anesthesia - Answer- 1. Initial administration 2. Excitement - unconscious to loss of eyelid reflex 3. Intrasurgery 4. Possibility of resp failure 3 Phases of Anesthesia - Answer- 1. Induction - admin until 1st incision 2. Maintenance - incision to completion 3. Emergence - from when pt awakens until pt exits OR What is often used for upper extremity nerve blocks? - Answer- IV regional anesthetic/Bier block Where is epidural anesthetic injected? - Answer- between ligamentum flavum and dura (NOT spinal canal) What helps ensure proper needle placement during peripheral nerve block with regional anesthesia? - Answer- continuous nerve stimulation First sign of Malignant Hyperthermia - Answer- increased end-tidal CO2 What should be done for pt with MH crisis? - Answer- 1. Stop surgery & stop triggering agents 2. Give dantrolene 3. Give 100% O2 4. Cool pt with iced saline Mentor or preceptor? "One who provides encouragement and acts as a guide and facilitator while modeling professional nursing behaviors" - Answer- Mentor Mentor or preceptor? "One who teaches, counsels, inspires, serves as a role model, and supports the growth and development of the novice for a fixed and limited period" - Answer- Preceptor Mentor or preceptor? Guides nurse through a wide range of professional activities - Answer- Mentor Mentor or preceptor? Guides nurse through defined clinical activities - Answer- Preceptor