AORN PERIOP 101 WITH ACTUAI
EXAM QUESTION AND CORRECT
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First forms of anesthesia: =ANS- Nitrous Oxide and ether
Who may provide anesthesia care? (4 answers) =ANS- Anesthesiologist, CRNA,
Anesthesiologist assistant, perioperative nurse
Factors to consider when determining what anesthetic to use for a particular
patient: (8 answers) =ANS- -pt/surgeon preference
-Surgical procedure
-Physical Status
-Age
-Postoperative recovery time
-Length of surgery
-Position of pt
-Pt previous experience with anesthesia
,AORN PERIOP 101 WITH ACTUAI EXAM
General Anesthesia =ANS- a reversible state of unconsciousness, consisting of
amnesia, analgesia, and muscle relaxation
Regional Anesthesia =ANS- a reversible loss of sensation, which is achieved by
injecting a local anesthetic to block the nerve fibers from transmitting impulses.
Local Anesthesia =ANS- functions like regional anesthesia but usually applies to a
smaller area or a single body part such as a finger or a toe.
Monitored Anesthesia Care (MAC) =ANS- consists of intravenous medications
and concurrent local infiltration of tissue at the surgical site
What are the Four STAGES of Anesthesia? =ANS- • Stage I: Initial Administration -
The first stage is the actual administering of the anesthetic drugs. There are only a
few seconds in between the initial administering of the drug and
unconsciousness.
• Stage II: Excitement - In Stage II the patient is now unconscious. Also known as
"excitement", is the time from loss
,AORN PERIOP 101 WITH ACTUAI EXAM
of consciousness to the loss of eyelid reflex. Involuntary movements may occur at
this time.
• Stage III: Intrasurgery - This is the time of surgical anesthesia. The patient has
rapid eye movement and breathing may be labored until the muscles completely
relax. It is time to start the surgery.
• Stage IV: Possibility of respiratory failure - During this last stage of
anesthesia, the patient might need help. If too much anesthesia has been
given, this stage is characterized by respiratory failure, leading to circulatory
failure. Without breathing apparatus and heart support, the patient can die.
What are the three PHASES of anesthesia? =ANS- • Induction - This phase begins
with the administration of anesthesia and lasts until the surgical incision is made.
• Maintenance - This phase begins with the surgical incision and lasts until near
completion of the procedure (Stage 3).
• Emergence - This phase starts as the patient begins to awaken and ends upon
exiting the operating room
IV regional anesthesia (Beir Block) is most often used for: =ANS- Upper extremity
nerve blockade
, AORN PERIOP 101 WITH ACTUAI EXAM
A common side effect to monitor after spinal anesthesia is:
=ANS- hypotension due to vasodilation
What is the most consistent physiological indication of Malignant Hyperthermia?
=ANS- Increased end tidal CO2
What drug is given for Malignant Hyperthermia? =ANS- Dantrolene
*Also, stop triggering agents, give 100% oxygen, cool pt
During Monitored Anesthesia Care (MAC), the Pt is monitored for what 3 risks?
=ANS- • Extravasation of intravenous medication
• A reduction of arterial oxygen saturation
• Breathing difficulty
During a peripheral nerve block, why must there be continuous nerve stimulation
in the area to be anesthetized? =ANS- To ensure proper needle placement