DAANCE UPDATED EVALUATION EXAM QUESTIONS
AND ANSWERS SURE A+
✔✔Relaxation and immobility - ✔✔Essential for patient to be relaxed and immobile
during procedure. (Versed, Propofol, brevital, ketamine)
✔✔Treatment for hyperventilation - ✔✔Terminate treatment and remove foreign bodies
from mouth and surgical instruments from sight, maintain airway, verbally calm patient,
monitor vitals, NO O2, have pt breathe into bag to recapture CO2.
Advanced: IV versed, Valium, Propofol, continue to monitor vitals, discontinue breathing
bag, activate EMS if condition deteriorates.
✔✔Gray - ✔✔Carbon dioxide
✔✔Hypercarbio - ✔✔Increased CO2 levels
✔✔Treatment for emesis with aspiration - ✔✔Activate EMS, keep IV, 100% O2 via
bag/mask, turn patient on right side with head down (tredelenburg), tonsil suction,
removal of visible foreign bodies, intubation, transport to care facility.
✔✔Scavenging system - ✔✔Reduces levels of noxious agents to acceptably low levels
by exhausting then outside operating room.
✔✔Ventilator - ✔✔Breathes for patient. Using bellows type apparatus with positive and
negative pressures to move gases in and out of lungs.
✔✔Vaporizer - ✔✔Facilitates the conversion of liquid anesthetic agents to gases
suitable for delivery.
✔✔Anesthesia machines - ✔✔Provides O2 and NO2 to the patient. The flow meter
determines ratio and rate at which gases are delivered.
✔✔Typical GA regimen - ✔✔Consists of anxiolytic, narcotic, and IV anesthetic agent.
✔✔Capnography - ✔✔Monitoring the patients CO2 in expired air
✔✔Halogenated hydrocarbons - ✔✔Inhalation agents that come in liquid form and are
poured into vaporizers that allow for controlled evaporation and release for
administration of gas. Sevoflurane, desflurane, isoflurane.
✔✔Non de polarizing agents - ✔✔Used for long procedures. Their mode of action is to
block acetylcholine receptors at neurotransmitter junction causing prolong muscle
relaxation. (Rocuronium, curare, pavulon)
, ✔✔Anticholinesterases - ✔✔Reverse effects of depolarizing agents (muscle relaxers)
✔✔Depolarizing agents - ✔✔Cause depolarization of muscle with contraction and
prolonged relaxation (succinylcholine). Used for intubation and treatment of
laryngospasm. Can cause dysrhythmias especially in children and can trigger malignant
hypothermia.
✔✔Muscle relaxants - ✔✔Block nerve impulses at neurotransmitter junction where
nerve stimulation causes muscle to contract causing paralysis.
✔✔Steroids - ✔✔Prevent swelling by stabilizing cell membranes and also prevent acute
adrenal deficiency and nausea. (Decadron, solu medrol, solu cortel)
✔✔Nitrous oxide - ✔✔Administered with O2 concentration no less than 30%. Following
administration necessary to wash out with 100% O2 for 3-4 min to prevent diffusion
hypoxia. Pt to remain in office for 15 min after.
✔✔General anesthesia (GA) - ✔✔The pt is not arousable even with painful stimulation.
Airway intervention is required and positive pressure ventilation may be required. CV
function may be impaired.
✔✔Meds that help with nausea - ✔✔Antienimetics. Antihistamines, antipsychotics,
reglan, zofran, corticosteroids, benzodiazepines
✔✔Benadryl - ✔✔Primary drug used in mild allergic reactions.
✔✔Treatment for bronchospasm - ✔✔100% O2, albuterol, atrovent, epinephrine,
intubation/ventilation, steroid injection, Benadryl, activate EMS.
✔✔Deep sedation analgesia - ✔✔The patient cannot be easily aroused bit has
purposeful response after repeated or painful stimulation. Pt may require maintenance
I'd airway and ventilation but CV function usually maintained.
✔✔Moderate sedation conscious sedation - ✔✔Purposeful response to verbal or light
tactile stimulation with no compromise of the airway and spontaneous ventilation. CV
function usually maintained.
✔✔Laryngospasm - ✔✔Protective reflex of vocal cords which attempt to prevent
passage or foreign matter to lungs. Crowing sounds or labored breathing from patient.
✔✔Treatment for laryngospasm - ✔✔100% O2, establish proper head position, suction
with tonsillar, positive pressure O2 via bag/mask, succinylcholine.
AND ANSWERS SURE A+
✔✔Relaxation and immobility - ✔✔Essential for patient to be relaxed and immobile
during procedure. (Versed, Propofol, brevital, ketamine)
✔✔Treatment for hyperventilation - ✔✔Terminate treatment and remove foreign bodies
from mouth and surgical instruments from sight, maintain airway, verbally calm patient,
monitor vitals, NO O2, have pt breathe into bag to recapture CO2.
Advanced: IV versed, Valium, Propofol, continue to monitor vitals, discontinue breathing
bag, activate EMS if condition deteriorates.
✔✔Gray - ✔✔Carbon dioxide
✔✔Hypercarbio - ✔✔Increased CO2 levels
✔✔Treatment for emesis with aspiration - ✔✔Activate EMS, keep IV, 100% O2 via
bag/mask, turn patient on right side with head down (tredelenburg), tonsil suction,
removal of visible foreign bodies, intubation, transport to care facility.
✔✔Scavenging system - ✔✔Reduces levels of noxious agents to acceptably low levels
by exhausting then outside operating room.
✔✔Ventilator - ✔✔Breathes for patient. Using bellows type apparatus with positive and
negative pressures to move gases in and out of lungs.
✔✔Vaporizer - ✔✔Facilitates the conversion of liquid anesthetic agents to gases
suitable for delivery.
✔✔Anesthesia machines - ✔✔Provides O2 and NO2 to the patient. The flow meter
determines ratio and rate at which gases are delivered.
✔✔Typical GA regimen - ✔✔Consists of anxiolytic, narcotic, and IV anesthetic agent.
✔✔Capnography - ✔✔Monitoring the patients CO2 in expired air
✔✔Halogenated hydrocarbons - ✔✔Inhalation agents that come in liquid form and are
poured into vaporizers that allow for controlled evaporation and release for
administration of gas. Sevoflurane, desflurane, isoflurane.
✔✔Non de polarizing agents - ✔✔Used for long procedures. Their mode of action is to
block acetylcholine receptors at neurotransmitter junction causing prolong muscle
relaxation. (Rocuronium, curare, pavulon)
, ✔✔Anticholinesterases - ✔✔Reverse effects of depolarizing agents (muscle relaxers)
✔✔Depolarizing agents - ✔✔Cause depolarization of muscle with contraction and
prolonged relaxation (succinylcholine). Used for intubation and treatment of
laryngospasm. Can cause dysrhythmias especially in children and can trigger malignant
hypothermia.
✔✔Muscle relaxants - ✔✔Block nerve impulses at neurotransmitter junction where
nerve stimulation causes muscle to contract causing paralysis.
✔✔Steroids - ✔✔Prevent swelling by stabilizing cell membranes and also prevent acute
adrenal deficiency and nausea. (Decadron, solu medrol, solu cortel)
✔✔Nitrous oxide - ✔✔Administered with O2 concentration no less than 30%. Following
administration necessary to wash out with 100% O2 for 3-4 min to prevent diffusion
hypoxia. Pt to remain in office for 15 min after.
✔✔General anesthesia (GA) - ✔✔The pt is not arousable even with painful stimulation.
Airway intervention is required and positive pressure ventilation may be required. CV
function may be impaired.
✔✔Meds that help with nausea - ✔✔Antienimetics. Antihistamines, antipsychotics,
reglan, zofran, corticosteroids, benzodiazepines
✔✔Benadryl - ✔✔Primary drug used in mild allergic reactions.
✔✔Treatment for bronchospasm - ✔✔100% O2, albuterol, atrovent, epinephrine,
intubation/ventilation, steroid injection, Benadryl, activate EMS.
✔✔Deep sedation analgesia - ✔✔The patient cannot be easily aroused bit has
purposeful response after repeated or painful stimulation. Pt may require maintenance
I'd airway and ventilation but CV function usually maintained.
✔✔Moderate sedation conscious sedation - ✔✔Purposeful response to verbal or light
tactile stimulation with no compromise of the airway and spontaneous ventilation. CV
function usually maintained.
✔✔Laryngospasm - ✔✔Protective reflex of vocal cords which attempt to prevent
passage or foreign matter to lungs. Crowing sounds or labored breathing from patient.
✔✔Treatment for laryngospasm - ✔✔100% O2, establish proper head position, suction
with tonsillar, positive pressure O2 via bag/mask, succinylcholine.
