Barry- Monitoring
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| show | The anesthetist.
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| show | Observation and vigilance, Instrumentation, Interpretation of data, Initiation of corrective therapy if indicated
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| Who sets the standards of care of monitoring? | show 🗑
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| show | Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and MAC.
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| What is standard II set by the ASA? | show 🗑
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| In what ways can you ensure that your patient is adequately oxygenated? | show 🗑
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| show | Auscultation, chest excursion, ETCO2, disconnect alarms (vent), volume monitoring/ alamrs (vent)
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| show | Every 5 mins.
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| What monitors do you use to ensure adequate circulation? | show 🗑
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| What is the 2nd most important monitor? | show 🗑
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| Pulse oximetry is based on what law? | show 🗑
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| Carboxyhemoglobin exists in smokers and other patient populations. What will you see in regards to your SpO2? | show 🗑
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| What can cause methemoglobinemia? | show 🗑
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| show | fasely low SpO2
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| show | Methylene blue 1mg/kg and 100% O2.
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| show | False... Not a measurement but an indicator
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| Proper BP cuff size should be? | show 🗑
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| show | False. Higher the systolic, lower diastolic
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| show | Allen's test
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| If your patient is in the sitting position, where should you zero your transducer for an aline? | show 🗑
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| What are some complications of arterial line insertion? | show 🗑
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| Respiratory variations seen in an arterial pressure tracing indicate what? | show 🗑
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| show | Myocardial contractility
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| show | SVR- systemic vascular resistance. A slurred/delayed stroke is indicative of increased afterload
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| show | AV closure
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| EKG are used to detect what? | show 🗑
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| show | Inferior wall MI and better to diagnosis arrthymias.
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| show | Ischemia is best seen in lead V.
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| If the patient has a venous embolism, what will you hear with your precordial stethoscope? | show 🗑
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| Esophageal temp. are most accurate when placed how far down into the esophagus? | show 🗑
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| What does CVP measure? | show 🗑
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| show | 1-15mmHg
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| show | Right atrial contraction (occurs just after the p wave on the EKG)
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| show | isovolumic R ventricular contraction. Forces the tricuspid valve to bulge upward into the R atrium
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| V-wave of CVP represens what? | show 🗑
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| show | Tricuspid regurg
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| show | Arterial puncture with hematoma, Pneumothorax/hemothorax, nerve injury, air emboli, catheter or wire shearing
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| Volatile anesthesics effect all EP's by ________ amplitude and ____________ latency. | show 🗑
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| Which EEG waveform indicates eyes closed but awake? | show 🗑
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| Beta waves on the EEG indicate what? | show 🗑
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| Delta waves on EEG? | show 🗑
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| show | Sleep state
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| EEG waveforms can be affected by? | show 🗑
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| show | to decrease incidence of awareness
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| What BIS numbers corralate with stage 3? | show 🗑
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| show | To evaluate integrity of neural pathways
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| Amplitude of EP | show 🗑
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| Latency of EP | show 🗑
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| show | Dorsal or posterior spinal cord
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| What do BAEP's monitor? (Brainstem auditory EP) | show 🗑
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| What do MEP's monitor? (Motor EP) | show 🗑
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| show | Measure cerebral response to flashing light
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| Which EP is the most sensitive to anesthesia? | show 🗑
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| show | BAEP's
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| show | ETCO2
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| If no CO2 detected, what should you assume? | show 🗑
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| How many phases are there in anazyling a CO2 waveform? | show 🗑
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| A low EtCO2 waveform indicates what? | show 🗑
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| An elevated EtCO2 waveform indicates what? | show 🗑
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| show | Rebreathing
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| show | False
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| What could cause a sudden decrease in the EtCO2 to a low value? | show 🗑
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| What is a possible cause of a decreased EtCO2 to zero? | show 🗑
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| What is a possible cause of decreased EtCO2? (not to zero) | show 🗑
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| show | Pulmonary Embolus, Cardiac Arrest, Sudden hypotension, severe hyperventilation
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| What is a possible cause of a change in the CO2 baseline? | show 🗑
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| What can cause a gradual increase in ETCO2? | show 🗑
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| What can cause a gradual lowering in ETCO2? | show 🗑
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| show | Sudden increase in BP, accessing an area of lung previously obstructed, release of tourniquet
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