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In patients with OSA who are morbidly obese, what may offer additional benefits compared to waiting to apply positive pressure in the PACU?

Asking the patient to bring their own CPAP machine

Using higher salt-containing fluid strategies

Applying CPAP postextubation in the operating room (correct)

Disregarding the risk of fluid shifts

What is the potential risk of fluid shifts in patients with OSA?

They are less prone to fluid shifts

Fluid shifts can worsen airway edema (correct)

Fluid shifts have no impact on airway edema

Fluid shifts can improve airway edema

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

To offer additional benefits compared to waiting to apply positive pressure in the PACU (correct)

To avoid the need for the respiratory therapist to determine the appropriate positive pressure

To prevent the use of high salt-containing fluid strategies

To enable the equipment to be set up before the patient's arrival in the PACU

What is the main purpose of the respiratory therapist's role in caring for patients with OSA who do not have their CPAP machines with them?

Both a and b Signup and view all the answers

According to the European Society of Anaesthesiology, what type of guideline did they publish on postoperative delirium?

Both evidence-based and consensus-based guideline Signup and view all the answers

What medication did the FDA approve in 2006 for the prevention of postoperative nausea and vomiting?

Aprepitant (EMEND) Signup and view all the answers

According to the American Geriatrics Society, what did they publish in 2015 regarding potentially inappropriate medication use in older adults?

An updated Beers criteria Signup and view all the answers

What did the American College of Surgeons NSQIP and the American Geriatrics Society publish a best practices guideline on?

Optimal perioperative management of the geriatric patient Signup and view all the answers

Which study identified different motor subtypes of postoperative delirium in older adults?

The study by Robinson et al. Signup and view all the answers

What did the study by Cole et al. focus on regarding emergence behavior in children following anesthesia?

Defining the incidence of excitement and agitation Signup and view all the answers

What type of guideline did the American Geriatrics Society publish in 2015 regarding postoperative delirium in older adults?

Best practice statement Signup and view all the answers

What was the focus of the guideline published by the European Society of Anaesthesiology?

Postoperative delirium Signup and view all the answers

Which class of antiemetic medication should not be redosed at all?

Scopolamine, dexamethasone, and aprepitant Signup and view all the answers

If an adequate dose of antiemetic medication is ineffective, what is the recommended course of action?

Switch to a different class of antiemetic medication Signup and view all the answers

Which of the following is NOT listed as a risk factor for postoperative nausea and vomiting (PONV) in the text?

Age Signup and view all the answers

How does the likelihood of experiencing PONV relate to the number of risk factors a patient possesses?

The likelihood increases as the number of risk factors increases Signup and view all the answers

If a patient has received an initial dose of an antiemetic medication, when is it recommended to redose with the same class of medication?

It is not recommended to redose with the same class of medication Signup and view all the answers

Which of the following statements about antiemetic medications is true, according to the text?

Antiemetic medications from different classes can be combined for better efficacy Signup and view all the answers

Which of the following statements about the risk factors for PONV is true, based on the information provided in the text?

The risk factors are additive in their effect on PONV likelihood Signup and view all the answers

Which of the following statements about antiemetic medication dosing is true?

Some antiemetic medications should not be redosed at all Signup and view all the answers

Which of the following is NOT a common cause of respiratory failure in the immediate postoperative period?

Chronic obstructive pulmonary disease Signup and view all the answers

What percentage of ischemic events detected on a 12-lead ECG can be reflected by a combination of leads II and V5?

80% Signup and view all the answers

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

Computerized ST-segment analysis Signup and view all the answers

What was the incidence of postoperative urinary retention in the PACU according to the study mentioned?

16% Signup and view all the answers

Which of the following was NOT identified as a significant predictive factor for postoperative urinary retention?

Body mass index (BMI) greater than 30 Signup and view all the answers

What is the most effective protection against contrast nephropathy?

Aggressive hydration with a balanced crystalloid solution Signup and view all the answers

What was the reported incidence of rhabdomyolysis in the study of 66 consecutive patients undergoing laparoscopic bariatric surgery?

22.7% Signup and view all the answers

Which of the following was NOT identified as a risk factor for rhabdomyolysis in the laparoscopic bariatric surgery patients?

Advanced age Signup and view all the answers

According to the references provided, which study directly examined the issue of perioperative visual loss?

American Society of Anesthesiologists task force on perioperative visual loss. Anesthesiology. 2012;116:274. Signup and view all the answers

Which reference discusses the issue of ICU overflow patients?

A Joint Position paper on ICU Overflow Patients. Developed by the American Society of PeriAnesthesia Nursing, American Association of Critical Care Nurses, American Society of Anesthesiologists: Anesthesia Care Team Committee and Committee on Critical Care Medicine and Trauma Medicine; 2000. Signup and view all the answers

Which reference is related to nursing management?

Petty DS. Nurs Manage. 2000;31(11):42. Signup and view all the answers

Which reference is specifically related to perianesthesia nursing?

Walker JR. J Perianesth Nurs. 1999;14(1):35. Signup and view all the answers

Which reference is related to liver transplantation?

Mandell MS, et al. Liver Transpl. 2002;8(8):682. Signup and view all the answers

Which reference is from a British journal?

Ziser A, et al. Br J Anaesth. 2002;88(4):577. Signup and view all the answers

Which reference is related to spinal surgery?

Myers MA, et al. Spine. 1997;22:1325. Signup and view all the answers

Which reference is related to neurosurgery?

Beauregard CL, Friedman WA. Surg Neurol. 2003;60(6):483. Signup and view all the answers

What is the most common cause of transient postoperative arterial hypoxemia in the immediate postoperative period?

Alveolar hypoventilation Signup and view all the answers

Which of the following can be used to reverse the sedating effects of opioids and benzodiazepines in adults?

Naloxone and flumazenil Signup and view all the answers

Which of the following is NOT listed as a potential cause of postoperative arterial hypoxemia?

Hyperventilation Signup and view all the answers

What should be done to identify and treat the cause of upper airway obstruction after successfully opening the airway and ensuring adequate ventilation?

Identify and treat the underlying cause Signup and view all the answers

Which of the following is NOT listed as a contributing factor to postoperative arterial hypoxemia in the PACU?

Increased intrapulmonary shunt due to pneumonia Signup and view all the answers

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

To improve oxygenation and ventilation Signup and view all the answers

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

The text does not provide this information Signup and view all the answers

What is the potential risk of fluid shifts in patients with OSA?

The text does not provide this information Signup and view all the answers

Which of the following is NOT a common cause of respiratory failure in the immediate postoperative period?

Increased oxygen demand Signup and view all the answers

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

To provide additional benefits compared to waiting to apply positive pressure in the PACU Signup and view all the answers

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

No specific recommendation is provided in the text Signup and view all the answers

What did the American College of Surgeons NSQIP and the American Geriatrics Society publish a best practices guideline on?

Postoperative delirium in older adults Signup and view all the answers

What is the potential risk of fluid shifts in patients with OSA?

The text does not mention any potential risks of fluid shifts in patients with OSA Signup and view all the answers

Which of the following statements about antiemetic medication dosing is true?

The text does not provide any information about antiemetic medication dosing Signup and view all the answers

What should be done preoperatively to provide CPAP in the immediate postoperative period for a patient with OSA?

The text does not mention any preoperative steps to provide CPAP in the immediate postoperative period for a patient with OSA Signup and view all the answers

What did the study by Cole et al. focus on regarding emergence behavior in children following anesthesia?

The text does not mention a study by Cole et al. regarding emergence behavior in children following anesthesia Signup and view all the answers

What aspect of neuromuscular function should be assessed for patients who received nondepolarizing neuromuscular blocking drugs?

Muscle strength Signup and view all the answers

Which monitoring parameter should be immediately available, according to the text?

Electrocardiographic monitors Signup and view all the answers

What is a recommended assessment that should be performed on a case-by-case basis for selected patients or procedures?

Assessment of urine output and voiding Signup and view all the answers

Why should postoperative hydration be managed accordingly?

To optimize tissue healing Signup and view all the answers

Which parameter should be routinely monitored to ensure patient safety?

Respiratory rate Signup and view all the answers

Why should cardiovascular parameters like heart rate and blood pressure be routinely monitored?

To detect early signs of complications Signup and view all the answers

Why is periodic assessment of mental status important in postoperative care?

To prevent delirium Signup and view all the answers

What is the purpose of assessing pain periodically in postoperative patients?

To ensure patient comfort and satisfaction Signup and view all the answers

What is the reported incidence range of residual neuromuscular blockade in the postoperative period?

20% to 40% Signup and view all the answers

Which muscle group is likely to recover from neuromuscular blockade before the pharyngeal muscles?

Diaphragm Signup and view all the answers

Which of the following medications is listed as potentially contributing to prolonged neuromuscular blockade?

Lidocaine Signup and view all the answers

Which of the following conditions is not listed as a potential cause of reduced plasma cholinesterase activity?

Hyperthyroidism Signup and view all the answers

Which of the following medications is listed as potentially inhibiting plasma cholinesterase activity?

Echothiophate Signup and view all the answers

What is the recommended dose of Scopolamine for antiemetic use in adult patients?

1.5 mg transdermal patch Signup and view all the answers

Which antiemetic medication should be monitored for prolongation of the QT interval after administration?

Droperidol Signup and view all the answers

What is the adult dose of Dexamethasone for antiemetic use postoperatively?

4 mg IV Signup and view all the answers

What is the primary route of administration for Hydroxyzine as an antiemetic medication?

IM Signup and view all the answers

80

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Questions and Answers

In patients with OSA who are morbidly obese, what may offer additional benefits compared to waiting to apply positive pressure in the PACU?

What is the potential risk of fluid shifts in patients with OSA?

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

What is the main purpose of the respiratory therapist's role in caring for patients with OSA who do not have their CPAP machines with them?

According to the European Society of Anaesthesiology, what type of guideline did they publish on postoperative delirium?

What medication did the FDA approve in 2006 for the prevention of postoperative nausea and vomiting?

According to the American Geriatrics Society, what did they publish in 2015 regarding potentially inappropriate medication use in older adults?

What did the American College of Surgeons NSQIP and the American Geriatrics Society publish a best practices guideline on?

Which study identified different motor subtypes of postoperative delirium in older adults?

What did the study by Cole et al. focus on regarding emergence behavior in children following anesthesia?

What type of guideline did the American Geriatrics Society publish in 2015 regarding postoperative delirium in older adults?

What was the focus of the guideline published by the European Society of Anaesthesiology?

Which class of antiemetic medication should not be redosed at all?

If an adequate dose of antiemetic medication is ineffective, what is the recommended course of action?

Which of the following is NOT listed as a risk factor for postoperative nausea and vomiting (PONV) in the text?

How does the likelihood of experiencing PONV relate to the number of risk factors a patient possesses?

If a patient has received an initial dose of an antiemetic medication, when is it recommended to redose with the same class of medication?

Which of the following statements about antiemetic medications is true, according to the text?

Which of the following statements about the risk factors for PONV is true, based on the information provided in the text?

Which of the following statements about antiemetic medication dosing is true?

Which of the following is NOT a common cause of respiratory failure in the immediate postoperative period?

What percentage of ischemic events detected on a 12-lead ECG can be reflected by a combination of leads II and V5?

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

What was the incidence of postoperative urinary retention in the PACU according to the study mentioned?

Which of the following was NOT identified as a significant predictive factor for postoperative urinary retention?

What is the most effective protection against contrast nephropathy?

What was the reported incidence of rhabdomyolysis in the study of 66 consecutive patients undergoing laparoscopic bariatric surgery?

Which of the following was NOT identified as a risk factor for rhabdomyolysis in the laparoscopic bariatric surgery patients?

According to the references provided, which study directly examined the issue of perioperative visual loss?

Which reference discusses the issue of ICU overflow patients?

Which reference is related to nursing management?

Which reference is specifically related to perianesthesia nursing?

Which reference is related to liver transplantation?

Which reference is from a British journal?

Which reference is related to spinal surgery?

Which reference is related to neurosurgery?

What is the most common cause of transient postoperative arterial hypoxemia in the immediate postoperative period?

Which of the following can be used to reverse the sedating effects of opioids and benzodiazepines in adults?

Which of the following is NOT listed as a potential cause of postoperative arterial hypoxemia?

What should be done to identify and treat the cause of upper airway obstruction after successfully opening the airway and ensuring adequate ventilation?

Which of the following is NOT listed as a contributing factor to postoperative arterial hypoxemia in the PACU?

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

What is the potential risk of fluid shifts in patients with OSA?

Which of the following is NOT a common cause of respiratory failure in the immediate postoperative period?

What is the purpose of applying CPAP immediately postextubation in the operating room for morbidly obese patients with OSA?

What is the recommended method for monitoring high-risk patients in the immediate postoperative period to avoid human error?

What did the American College of Surgeons NSQIP and the American Geriatrics Society publish a best practices guideline on?

What is the potential risk of fluid shifts in patients with OSA?

Which of the following statements about antiemetic medication dosing is true?

What should be done preoperatively to provide CPAP in the immediate postoperative period for a patient with OSA?

What did the study by Cole et al. focus on regarding emergence behavior in children following anesthesia?

What aspect of neuromuscular function should be assessed for patients who received nondepolarizing neuromuscular blocking drugs?

Which monitoring parameter should be immediately available, according to the text?

What is a recommended assessment that should be performed on a case-by-case basis for selected patients or procedures?

Why should postoperative hydration be managed accordingly?

Which parameter should be routinely monitored to ensure patient safety?

Why should cardiovascular parameters like heart rate and blood pressure be routinely monitored?

Why is periodic assessment of mental status important in postoperative care?

What is the purpose of assessing pain periodically in postoperative patients?

What is the reported incidence range of residual neuromuscular blockade in the postoperative period?

Which muscle group is likely to recover from neuromuscular blockade before the pharyngeal muscles?

Which of the following medications is listed as potentially contributing to prolonged neuromuscular blockade?

Which of the following conditions is not listed as a potential cause of reduced plasma cholinesterase activity?

Which of the following medications is listed as potentially inhibiting plasma cholinesterase activity?

What is the recommended dose of Scopolamine for antiemetic use in adult patients?

Which antiemetic medication should be monitored for prolongation of the QT interval after administration?

What is the adult dose of Dexamethasone for antiemetic use postoperatively?

What is the primary route of administration for Hydroxyzine as an antiemetic medication?

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