NURS 581 Exam 2 – Questions With Accurate
Answers
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Terms in this set (118)
Surgical Care Improvement
Project: publishes guidelines
that are meant to improve
surgical outcomes
For example:
What is SCIP? - BG levels pre/post-op
- meds to hold/continue during
preop
- stress hormone management
- abx to incision (1 hour)
- electric clippers for hair
removal
What is the prevelance of 1: 26,000 (in the 1940s, used to be 1: 650)
current anesthesia-
related deaths? 1/3 of these deaths are preventable; caused by:
1) inadequate IV access
How many of those are 2) improper airway
preventable? 3) wrong anesthetic technique
Name some common 4) inadequate crisis management
causes of preventable
deaths (4 total) Preparation and vigilence is key every case
What type of hospital Preanesthesia clinic - larger, urban hospitals
would you expect to use
preanesthesia clinics vs. Phone call the night before - small rural hospitals
phone call the night (usually done by preop nurse)
before?
,When assessing for Did a previous anesthesia provider ever say you
difficult airway history, were a difficult airway? If so, did they right a letter
what is something you explaining this in more detail?
should ask every patient?
From anesthesia, did any of
your family members die or
have any serious ADR such as
When asking about family
fever?
history, what are two
syndromes should alert
1) Malignant hyperthermia
anesthesia providers?
2) A-typical
acetylcholinesterase
12-48 hours
- reduces HR, BP, carbon
monoxide levels, and
circulating catecholamines
How long before surgery
should patients quit
(Reality: patients usually smoke
smoking?
right before surgery)
What are some
Associated risk with smokers:
associated risks with
- irritable airway
smokers? (3 total)
- delayed wound healing
- 6-8 weeks after quitting =>
copious secretions from the
return of cilia function
When should you get a All females of childbearing age with a functioning
urine pregnancy test uterus
prior to surgery?
, 1 kilocalorie per kg per hour
1 kcal/kg/hr (would be
Give an example of each
equivalent to sitting on the
functional level within the
couch for one hour)
Metabolic Equivalents of
Functional Capacity
***≥4 MET indicates better
(MET).
surgical outcomes (can they
climb a flight of stairs without
dyspnea, chest discomfort?)
More examples of MET
from power point for
reference
great test questions here
Egg white allergy (but egg yolk allergy is ok with
What are some basic propofol)
allergies that could cause
problems during any OR Iodine
procedure?
Latex (caution with spina bifida patients)
, ACEI - continue
BB - continue unless HR < 55 day of sx
What would you instruct
your patient during Antiarrythmic - continue
preop if they were on the
following medications? Steroids - continue + extra stress dose as indicated
ACEI Seizure meds - continue
BB
Antiarrythmic Parkinson meds - continue
Steroids
Seizure meds Anti-platlets - HOLD unless artificial valve,
Parkinson meds vascular/cardiac sx
Anti-platlets (Aspirin,
Plavix) Insulin (PO vs. Subq) - hold PO, hold rapid-acting,
Insulin (PO vs. Subq) half other subq insulin doses
Anticoagulants
Antidepressants Anticoagulants - HOLD
Antidepressants - continue (except MAOIs, d/c 2
weeks prior to sx)
Acute: may require less anesthetics
Acute vs Chronic ETOH;
how would you modify Chronic: may require more anesthetics; tx with long-
your anesthetic plan for acting benzo's
either? - barbituate tolerance
- hypnotic tolerance
Answers
Save
Terms in this set (118)
Surgical Care Improvement
Project: publishes guidelines
that are meant to improve
surgical outcomes
For example:
What is SCIP? - BG levels pre/post-op
- meds to hold/continue during
preop
- stress hormone management
- abx to incision (1 hour)
- electric clippers for hair
removal
What is the prevelance of 1: 26,000 (in the 1940s, used to be 1: 650)
current anesthesia-
related deaths? 1/3 of these deaths are preventable; caused by:
1) inadequate IV access
How many of those are 2) improper airway
preventable? 3) wrong anesthetic technique
Name some common 4) inadequate crisis management
causes of preventable
deaths (4 total) Preparation and vigilence is key every case
What type of hospital Preanesthesia clinic - larger, urban hospitals
would you expect to use
preanesthesia clinics vs. Phone call the night before - small rural hospitals
phone call the night (usually done by preop nurse)
before?
,When assessing for Did a previous anesthesia provider ever say you
difficult airway history, were a difficult airway? If so, did they right a letter
what is something you explaining this in more detail?
should ask every patient?
From anesthesia, did any of
your family members die or
have any serious ADR such as
When asking about family
fever?
history, what are two
syndromes should alert
1) Malignant hyperthermia
anesthesia providers?
2) A-typical
acetylcholinesterase
12-48 hours
- reduces HR, BP, carbon
monoxide levels, and
circulating catecholamines
How long before surgery
should patients quit
(Reality: patients usually smoke
smoking?
right before surgery)
What are some
Associated risk with smokers:
associated risks with
- irritable airway
smokers? (3 total)
- delayed wound healing
- 6-8 weeks after quitting =>
copious secretions from the
return of cilia function
When should you get a All females of childbearing age with a functioning
urine pregnancy test uterus
prior to surgery?
, 1 kilocalorie per kg per hour
1 kcal/kg/hr (would be
Give an example of each
equivalent to sitting on the
functional level within the
couch for one hour)
Metabolic Equivalents of
Functional Capacity
***≥4 MET indicates better
(MET).
surgical outcomes (can they
climb a flight of stairs without
dyspnea, chest discomfort?)
More examples of MET
from power point for
reference
great test questions here
Egg white allergy (but egg yolk allergy is ok with
What are some basic propofol)
allergies that could cause
problems during any OR Iodine
procedure?
Latex (caution with spina bifida patients)
, ACEI - continue
BB - continue unless HR < 55 day of sx
What would you instruct
your patient during Antiarrythmic - continue
preop if they were on the
following medications? Steroids - continue + extra stress dose as indicated
ACEI Seizure meds - continue
BB
Antiarrythmic Parkinson meds - continue
Steroids
Seizure meds Anti-platlets - HOLD unless artificial valve,
Parkinson meds vascular/cardiac sx
Anti-platlets (Aspirin,
Plavix) Insulin (PO vs. Subq) - hold PO, hold rapid-acting,
Insulin (PO vs. Subq) half other subq insulin doses
Anticoagulants
Antidepressants Anticoagulants - HOLD
Antidepressants - continue (except MAOIs, d/c 2
weeks prior to sx)
Acute: may require less anesthetics
Acute vs Chronic ETOH;
how would you modify Chronic: may require more anesthetics; tx with long-
your anesthetic plan for acting benzo's
either? - barbituate tolerance
- hypnotic tolerance
