Anesthesia and Perioperative Care Quiz

<p>Both A and D (E)</p> Signup and view all the answers

<p>Determining the patient's level of anesthesia expertise (B)</p> Signup and view all the answers

<p>Identifying and addressing potential pre-operative concerns (A)</p> Signup and view all the answers

<p>Pseudocholinesterase deficiency (D)</p> Signup and view all the answers

<p>A non-smoking female patient undergoing a long procedure (B), An older patient undergoing a procedure involving volatile anesthetics (C), A patient with a history of motion sickness undergoing a short procedure (D)</p> Signup and view all the answers

<p>4 (A)</p> Signup and view all the answers

<p>Morphine (D)</p> Signup and view all the answers

<p>Administering high doses of opioids to manage post-operative pain (A)</p> Signup and view all the answers

<p>Low body temperature (A)</p> Signup and view all the answers

<p>Succinylcholine (C)</p> Signup and view all the answers

<p>Type of anesthetic used, whether a neuromuscular blocking agent (NMBA) was reversed, and details about intubation (B)</p> Signup and view all the answers

<p>Cardiac arrest (A)</p> Signup and view all the answers

<p>Delayed breakdown of succinylcholine (C)</p> Signup and view all the answers

<p>Hypotension (A)</p> Signup and view all the answers

<p>Succinylcholine (B)</p> Signup and view all the answers

<p>Continue mechanical ventilation until the paralysis resolves (B)</p> Signup and view all the answers

<p>Family history of unexplained prolonged paralysis during anesthesia (B)</p> Signup and view all the answers

<p>To allow time for the breakdown of succinylcholine (C)</p> Signup and view all the answers

<p>It is a rare genetic condition with a significant impact on anesthesia (B)</p> Signup and view all the answers

<p>Thorough pre-operative assessment of the patient's medical history (C)</p> Signup and view all the answers

<p>Can't Intubate, Can't Oxygenate (A)</p> Signup and view all the answers

<p>When all three upper airway lifelines have been attempted without success (D)</p> Signup and view all the answers

<p>The need to consider alternative airway management strategies (A)</p> Signup and view all the answers

<p>Surgical intervention (C)</p> Signup and view all the answers

<p>Represents a successful airway management outcome (A)</p> Signup and view all the answers

<p>Can be modified based on the patient's specific situation. (D)</p> Signup and view all the answers

<p>Unsuccessful attempt with all three lifelines. (C)</p> Signup and view all the answers

<p>It reminds clinicians that CICO Rescue can also restore oxygen delivery. (D)</p> Signup and view all the answers

<p>Hemodynamic instability, baro/volutrauma, increased work of breathing (B)</p> Signup and view all the answers

<p>CAD/CHF and associated risk factors, vascular surgeries (C)</p> Signup and view all the answers

<p>ST elevation/depression, unexplained ↑ HR or ↓ BP, arrhythmias (B)</p> Signup and view all the answers

<p>Cardiac tamponade, arrhythmia, pulmonary embolism (PE) (B)</p> Signup and view all the answers

<p>Maximizing myocardial oxygenation and decreasing demand. (D)</p> Signup and view all the answers

<p>Consult with cardiology and the surgical team to determine the best management plan. (A)</p> Signup and view all the answers

<p>Optimize myocardial and hemodynamic stability while minimizing surgical insult/time. (C)</p> Signup and view all the answers

<p>The patient's medical history. (D)</p> Signup and view all the answers

<p>Increased gastric motility (C)</p> Signup and view all the answers

<p>Ensuring adequate preoxygenation and positive pressure ventilation (D)</p> Signup and view all the answers

<p>Administering an insulin infusion to achieve more aggressive glycemic control before surgery (A)</p> Signup and view all the answers

<p>Stimulation of the chemoreceptor trigger zone (CTZ) by opioids (B), Pre-operative anxiety and stress (C), Stimulation of the chemoreceptor trigger zone (CTZ) by serotonin (5HT3) agonists (D)</p> Signup and view all the answers

<p>Desflurane (A)</p> Signup and view all the answers

<p>Regular suctioning and physiotherapy to prevent sputum plugging and aspiration (B)</p> Signup and view all the answers

<p>Measuring glucose frequently and adjusting insulin doses as needed during the perioperative period (B)</p> Signup and view all the answers

<p>Increased risk of developing postoperative respiratory failure (C)</p> Signup and view all the answers

A hypermetabolic state triggered by certain anesthetics, leading to rapid rise in body temperature and muscle rigidity.

A genetic disorder affecting the enzyme that breaks down certain anesthetics, prolonging their effects.

Three conditions frequently associated with obesity, such as hypertension, diabetes, and sleep apnea.

Obstructive Sleep Apnea can complicate post-operative recovery, increasing risks like respiratory failure.

Elements include assessing jaw movement, teeth alignment, and neck mobility to predict intubation difficulty.

A system to assess airway by visualizing oropharyngeal structures; higher classes indicate increased difficulty in intubation.

A measure of a patient's physical status before anesthesia, ranging from I (healthy) to VI (moribund).

Actions taken to improve a patient's health and address risk factors before surgery for safer outcomes.

Continue CPAP/BiPAP if used at home during surgery management.

Changes like orthostatic hypotension and hypothermia seen in diabetes.

Take comprehensive history, measure glucose, insulin infusion as needed.

Obstructive lung disease leading to reduced gas transfer and hypoventilation.

Measure glucose frequently to monitor for complications in diabetes patients.

Issues like silent myocardial infarction and poor wound healing.

Area in the brainstem stimulated, causing nausea from various receptors.

Provide respiratory support and monitor closely to prevent complications.

Hemodynamic instability, baro/volutrauma, and ↑ work of breathing during mechanical ventilation.

Conditions like bronchospasm, pulmonary edema, pneumothorax, or secretions causing respiratory problems.

Decreased blood flow to the heart due to CAD or oxygen-demand mismatch leading to ischemia.

ST elevation or depression, altered heart rate, arrhythmias, new Q waves, new LBBB.

Cardiogenic shock and cardiac arrest can occur as complications of ischemia or infarction.

Includes CAD, CHF, surgeries, and significant bleeding which can predispose to ischemia.

Identify at-risk patients, optimize pre-op conditions, and monitor with ECG.

Varies by urgency, type of surgery, patient condition; focus on oxygenation and demand reduction.

Succinylcholine and mivacurium are anesthetics that can trigger symptoms in affected individuals.

Involves stopping succinylcholine, administering dantrolene, and supportive care.

Prolonged respiratory paralysis and apnea following anesthesia.

Family history of MH and symptoms like unexplained fever or muscle weakness.

Includes prolonged mechanical ventilation and potential respiratory failure if extubated early.

Identify at-risk patients and take precautions like removing triggering agents.

A scenario where intubation and oxygenation fail, requiring emergency access.

Emergency front-of-neck access initiated in a CICO situation.

Three methods used to manage airway during emergencies: intubation, ventilation, and supplemental oxygen.

Area indicating successful alveolar oxygen delivery and opportunity for strategies and resource gathering.

The process of progressing to the next lifeline after unsuccessful attempts to oxygenate.

Maximum attempts made using airway management techniques before moving to the next option.

The approach to manage airways in any order based on clinical judgment.

Successful transfer of oxygen to the alveoli for effective breathing.

Factors increasing the likelihood of post-operative nausea and vomiting (PONV).

A scoring system from 0 to 4 predicting PONV incidence based on risk factors.

Medications commonly used to prevent post-operative nausea and vomiting.

Symptoms indicating the onset of malignant hyperthermia, such as increased ETCO2 and heart rate.

Approaches to minimize the occurrence of postoperative nausea and vomiting.

Essential information to communicate during post-anesthesia care unit transition.

Severe complications such as hyperthermia, arrhythmias, and potential death.