DAANCE MODULE 5 EXAM/ Practice QUIZ LATEST 2024
GRADED A+ 100% REAL (Office anesthesia
emergencies) 150 QUESTIONS FULLY SOLVED
Hypoxia - ANSWER: Deficiency of oxygen
Can result in cardiac dysrhythmia, cardiac arrest, neurologic or brain damage, and
ultimately death
Will occur more rapidly in children secondary to a diminished respiratory reserve
Signs of an airway obstruction and treatment - ANSWER: choking, gagging,
suprasternal notch retraction, labored breathing and rapid pulse initially followed by
decreased pulse, respiratory arrest and cardiac arrest
TX:
1. 100% O2
2. Trendelenburg position/pack off the surgical site
3. Digital traction of the tongue with gauze, tongue forceps, hemostat or tongue
suture
4. Suction oropharynx
If the tongue continues to fall back
5. nasopharyngeal airway in conscious/semiconscous patient
6. oropharyngeal airway for unconscous
7. Consider using LMA or other supraglottic airway
8. Endotracheal tube
Cricothyrotomy - ANSWER: Only used when all other methods have failed.
Quickest, easiest way for surgical airway
Made between the thin cricothyroid membrane between the cricoid and thyroid
cartilages of the larynx.
TX:
a. cleanse overlying skin
b. locate cricothyroid membrane by palpation
c. utilize the emergency cricothyrotomy needle/ cannula or large gauge to enter the
trachea beneath the vocal cords through the cricothyroid membrane
d. attach the tube of the crycothyrotomy device to an oxygen source such as an
anesthesia machine or ambu bag and ventilate 100% O2
Tracheostomy - ANSWER: Surgical airway below the level of the larynx into the
trachea. Usually performed in a hospital setting
Laryngospasm.. what, prevention and how to fix - ANSWER: WHAT?
Protective relfex of the vocal cords
Crowing sounds and labored respiratory efforts
Characterized by cessation of crowing sounds, suprasternal retraction and
paradoxical chest movement ("rocking" pattern of the chest and abdomen)
, Prevention:
Proper pack placement or throat partition, changing packs and partitions when
necessary, adequate suctioning, control of secretions and adequate anesthesia
levels.
TX:
a. 100% O2
b. proper head position/maintain airway
c. pack off surgical site
d. suction oral cavity and oropharynx with tonsil suction
e. postive pressure-100% O2 w/mask
f. administer Succs until spontaneous respiration has resumed.
Succinylcholine - ANSWER: Can trigger MH
Can lead to bradycardia in peds patients
In children, atropine should be administered concomitantly with succinylcholine to
prevent bradycardia and life threatening dysrhythmias
May cause cessation of breathing
Bronchospasm. WHAT? TX? - ANSWER: Contraction of the smooth muscles of the
small bronchi and bronchioles. Restriction of air to and from the lungs. More difficult
expiration than inspiration. Exhibits labored breathing, expiration difficulty and signs
of a diminishing respiratory status. Wheezing and often show labored breathing.
Cyanosis or decreased ventilation patterns on the capnograph
TX:
a. 100% O2
b. albuterol inhalation (Beta-2 antagonist)
c. Ipratropium bromide- 2 puffs STAT
d. Epinephrine
e. Intubation/ventilation
f. steroid injection-dec, or solu-cortef
g. diphenhydramine
h. activate EMS if bronchospasm is not broken
Emesis w/ aspiration. What? TX? - ANSWER: Aspiration occurs when the contents of
the stomach enter the lungs secondary to emesis or when a foreign body or fluid
inadvertantly enters the lungs from the oral pharyngeal cavity through the larynx.
Acidic gastric contents cause severe reaction within the lungs that results in damage
to the endolitheal lining of the lungs-rales, dyspnea and tachycardia
TX:
a. activate EMS
b. 100% O2
c. Trendelenburg position
d. Tonsil suction
e. removal of visible foreign material
GRADED A+ 100% REAL (Office anesthesia
emergencies) 150 QUESTIONS FULLY SOLVED
Hypoxia - ANSWER: Deficiency of oxygen
Can result in cardiac dysrhythmia, cardiac arrest, neurologic or brain damage, and
ultimately death
Will occur more rapidly in children secondary to a diminished respiratory reserve
Signs of an airway obstruction and treatment - ANSWER: choking, gagging,
suprasternal notch retraction, labored breathing and rapid pulse initially followed by
decreased pulse, respiratory arrest and cardiac arrest
TX:
1. 100% O2
2. Trendelenburg position/pack off the surgical site
3. Digital traction of the tongue with gauze, tongue forceps, hemostat or tongue
suture
4. Suction oropharynx
If the tongue continues to fall back
5. nasopharyngeal airway in conscious/semiconscous patient
6. oropharyngeal airway for unconscous
7. Consider using LMA or other supraglottic airway
8. Endotracheal tube
Cricothyrotomy - ANSWER: Only used when all other methods have failed.
Quickest, easiest way for surgical airway
Made between the thin cricothyroid membrane between the cricoid and thyroid
cartilages of the larynx.
TX:
a. cleanse overlying skin
b. locate cricothyroid membrane by palpation
c. utilize the emergency cricothyrotomy needle/ cannula or large gauge to enter the
trachea beneath the vocal cords through the cricothyroid membrane
d. attach the tube of the crycothyrotomy device to an oxygen source such as an
anesthesia machine or ambu bag and ventilate 100% O2
Tracheostomy - ANSWER: Surgical airway below the level of the larynx into the
trachea. Usually performed in a hospital setting
Laryngospasm.. what, prevention and how to fix - ANSWER: WHAT?
Protective relfex of the vocal cords
Crowing sounds and labored respiratory efforts
Characterized by cessation of crowing sounds, suprasternal retraction and
paradoxical chest movement ("rocking" pattern of the chest and abdomen)
, Prevention:
Proper pack placement or throat partition, changing packs and partitions when
necessary, adequate suctioning, control of secretions and adequate anesthesia
levels.
TX:
a. 100% O2
b. proper head position/maintain airway
c. pack off surgical site
d. suction oral cavity and oropharynx with tonsil suction
e. postive pressure-100% O2 w/mask
f. administer Succs until spontaneous respiration has resumed.
Succinylcholine - ANSWER: Can trigger MH
Can lead to bradycardia in peds patients
In children, atropine should be administered concomitantly with succinylcholine to
prevent bradycardia and life threatening dysrhythmias
May cause cessation of breathing
Bronchospasm. WHAT? TX? - ANSWER: Contraction of the smooth muscles of the
small bronchi and bronchioles. Restriction of air to and from the lungs. More difficult
expiration than inspiration. Exhibits labored breathing, expiration difficulty and signs
of a diminishing respiratory status. Wheezing and often show labored breathing.
Cyanosis or decreased ventilation patterns on the capnograph
TX:
a. 100% O2
b. albuterol inhalation (Beta-2 antagonist)
c. Ipratropium bromide- 2 puffs STAT
d. Epinephrine
e. Intubation/ventilation
f. steroid injection-dec, or solu-cortef
g. diphenhydramine
h. activate EMS if bronchospasm is not broken
Emesis w/ aspiration. What? TX? - ANSWER: Aspiration occurs when the contents of
the stomach enter the lungs secondary to emesis or when a foreign body or fluid
inadvertantly enters the lungs from the oral pharyngeal cavity through the larynx.
Acidic gastric contents cause severe reaction within the lungs that results in damage
to the endolitheal lining of the lungs-rales, dyspnea and tachycardia
TX:
a. activate EMS
b. 100% O2
c. Trendelenburg position
d. Tonsil suction
e. removal of visible foreign material
