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Barry- Monitoring Fill In The Blanks

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In each blank, try to type in the word that is missing. If you've typed in the correct word, the blank will turn green.

If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed.

When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on.
Question: What is the most monitor?Answer: The .
Question: 4 essential features of ?Answer: Observation and vigilance, Instrumentation, Interpretation of data, of corrective therapy if indicated
Question: Who sets the of care of monitoring?Answer: The
Question: What is the standard of care set by the ASA?Answer: Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, anesthetics and MAC.
Question: What is II set by the ASA?Answer: The patients oxygenation, ventilation, circulation and temp. shall be evaluated during all anesthetics.
Question: In what ways can you ensure that your patient is adequately ?Answer: Measuring inspired gas thru teh oxygen anzalyzer, on the inspired limb of circuit and pulse and inspection of the patient
Question: How do you adequate ventilation of your patient?Answer: Auscultation, chest excursion, ETCO2, disconnect alarms (vent), monitoring/ alamrs (vent)
Question: What is the minimum frequency that you must monitor pressure?Answer: 5 mins.
Question: What monitors do you use to ensure adequate ?Answer: EKG, BP, palpation of pulse, Aline, visualization of the patient, pulse ox, auscultation of sounds
Question: What is the 2nd most monitor?Answer: Pulse
Question: oximetry is based on what law?Answer: Beer-Lamberts
Question: Carboxyhemoglobin exists in and other patient populations. What will you see in regards to your SpO2?Answer: Falsely high reading. Carboxyhemoglobin absorbes at the same of light as oxyhemoglobin
Question: What can cause ?Answer: Benzocaine, prilocaine, dapsone, or nitrobenzene. Can also be
Question: SpO2 will be ____ with methemoglobin?Answer: fasely low
Question: What is the treatment for ?Answer: blue 1mg/kg and 100% O2.
Question: pressure is a measurement of end organ perfusion. T/FAnswer: False... Not a but an indicator
Question: BP cuff size should be?Answer: 20% greater than of limb and cover 2/3 of upper arm or thigh
Question: The more peripheral the pressure sight the lower the systolic and higher the diastolic. T/FAnswer: False. Higher the systolic, diastolic
Question: What test do you use to determine adequate collateral circulation before placing an line?Answer: 's test
Question: If your patient is in the sitting , where should you zero your transducer for an aline?Answer: The of Willis
Question: What are some of arterial line insertion?Answer: , hematoma, bleeding, vasospasm, air embolism, necrosis/ischemia, nerve damage, infection, intra-arterial drug injection
Question: Respiratory variations seen in an pressure tracing indicate what?Answer:
Question: What the slope of upstroke on the waveform represent?Answer: Myocardial
Question: What does the of the downstroke on the arterial waveform represent?Answer: SVR- systemic vascular resistance. A slurred/delayed stroke is indicative of increased
Question: The dicrotic notch of the waveform represents what?Answer: AV closure
Question: EKG are used to what?Answer: , MI, conduction abnormalities, pacemaker malfunction, and electrolyte disturbances
Question: What can be seen best in Lead II?Answer: Inferior wall MI and better to arrthymias.
Question: Lead V is most for?Answer: is best seen in lead V.
Question: If the patient has a venous , what will you hear with your precordial stethoscope?Answer: Mill-Wheal
Question: temp. are most accurate when placed how far down into the esophagus?Answer: 1/3
Question: What does CVP ?Answer: Estimates preload and the ability of the Right ventricle to pump blood to the pulmonary
Question: What is the value for CVPAnswer: 1-15mmHg
Question: A-wave of CVP what?Answer: atrial contraction (occurs just after the p wave on the EKG)
Question: C-wave of CVP what?Answer: isovolumic R ventricular contraction. the tricuspid valve to bulge upward into the R atrium
Question: V-wave of CVP what?Answer: return against closed tricuspid valve
Question: V-wave are seen in when?Answer: regurg
Question: Complications of CVP Answer: Arterial puncture with hematoma, /hemothorax, nerve injury, air emboli, catheter or wire shearing
Question: Volatile anesthesics effect all EP's by ________ amplitude and ____________ latency.Answer: ; prolonging
Question: Which EEG waveform indicates eyes but awake?Answer: waves
Question: Beta waves on the EEG what?Answer: awake state
Question: waves on EEG?Answer: Deep sleep
Question: Theta on EEG?Answer: Sleep
Question: EEG can be affected by?Answer: Temp, BP, pH,
Question: BIS is used for?Answer: to incidence of awareness
Question: What BIS numbers with stage 3?Answer: 40-65- General anesthesia, deep
Question: What are evoked used for?Answer: To integrity of neural pathways
Question: Amplitude of Answer: intensity of
Question: of EPAnswer: Length of time from to time it reaches the brain
Question: What do SSEP's ? (somatosensory evoked potentials)Answer: Dorsal or spinal cord
Question: What do BAEP's ? (Brainstem auditory EP)Answer: Monitor auditory .
Question: What do MEP's ? (Motor EP)Answer: motor function. Ventral/Anterior spinal cord.
Question: What do VEP's ? (Visual EP)Answer: Measure cerebral response to light
Question: Which EP is the most to anesthesia?Answer: MEP's
Question: Which EP is the most to anesthesia?Answer: BAEP's
Question: What is the gold standard to endotracheal tube placement?Answer:
Question: If no CO2 detected, what should you ?Answer: TO VENTILATE.
Question: How many phases are there in a CO2 waveform?Answer: 4. I- Inspiration, II- expiratory upstroke, III- expiratory (no air movement) IV- Inspiratory downstroke
Question: A low waveform indicates what?Answer: Hyperventilation
Question: An elevated EtCO2 waveform what?Answer: Hypoventilation or
Question: If you see a Curare cleft, what does this ?Answer:
Question: Cardiogenic are life threatening. T/FAnswer: False
Question: What could cause a sudden decrease in the to a low value?Answer: Pulmonary
Question: What is a possible cause of a EtCO2 to zero?Answer: Esophageal intubation, vent disconnect or defect, defect in CO2 analyzer, ETT
Question: What is a cause of decreased EtCO2? (not to zero)Answer: Leak in vent , obstruction, Partial disconnect from vent, partial airway obstruction (secretions)
Question: What is a possible cause of an exponential decrease in ?Answer: Pulmonary Embolus, Cardiac Arrest, hypotension, severe hyperventilation
Question: What is a possible cause of a change in the CO2 ?Answer: Calibration error, CO2 absorber saturation, droplet in analyzer, mechanical failure of vent
Question: What can a gradual increase in ETCO2?Answer: Increasing body temp, , CO2 absorption, Partial airway obstruction, reactive airway disease
Question: What can cause a gradual lowering in ?Answer: , decreased CO, Hypothermia
Question: What can a sudden increase in ETCO2?Answer: Sudden increase in BP, an area of lung previously obstructed, release of tourniquet
 
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