Term
| WHAT ARE THE 4 TYPES OF ANESTHESIA? |
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Definition
| MAC, LOCAL, REGIONAL, GENERAL |
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Term
| DOES GENERAL ANESTHESIA RESULT IN LOSS OF RESPONSE TO AND PERCEPTION TO PART OR ALL FO EXTERNAL STIMULI? |
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Definition
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Term
| WHAT ARE THE 5 COMPONENTS OF THE ANESTHETIC STATE? |
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Definition
| UNCONSCIOUSNESS, AMNESIA, ANALGESIA, IMMOBILITY, AND ATTENUATION OF THE AUTONOMIC RESPONSE TO NOXIOUS STIMULATION. |
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Term
| WHAT DOES IT MEAN BY ATTENUATING THE AUTONOMIC RESPONSE? |
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Definition
| YOU BLOCK THE TACHYCARDIA OR HYPERTENSIVE EFFECTS. |
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Term
| DO ALL SURGERIES REQUIRE IMMOBILITY? |
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Definition
| NO. SOME PATIENT MAY MOVE DURING SURGERY. IT DOESN'T MEAN THAT THEY ARE AWAKE. |
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Term
| WHAT ARE THE 4 STAGES AND 4 PLANES OF ANESTHESIA CALLED? |
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Definition
| STAGE 1-ANALGESIA, STAGE 2-DELIRIUM, STAGE 3 SURGICAL ANESTHESIA WHICH CONSISTS OF THE 4 PLANES (LIGHT, MODERATE, DEEP, AND VERY DEEP), STAGE 4 OVERDOSE |
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Term
| WHAT AGE OF PATIENTS DO YOU SEE GOING THROUGH STAGE 2 AND WHY? |
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Definition
| YOU SEE THE PEDIATRIC POULATION GOING THROUGH STAGE 2 R/T A SLOW INDUCTION FROM THE MASK INDUCTION TECHNIQUE. ON THE OTHER HAND, IT IS HARD TO RECOGNIZE A STAGE 2 ON ADULTS R/T THE RAPID ONSET OF IV INDUCTION AGENTS. |
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Term
| WHERE IS THE GOAL OF ANESTHESIA? |
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Definition
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Term
| WHEN DOES STAGE 1 BEGIN AND END WITH? |
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Definition
| IT BEGINS WITH THE ADMINISTRATION OF INDUCTION AGENTS AND ENDS WITH LOSS OF CONSCIOUSNESS. |
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Term
| CAN PATIENTS STILL FEEL PAIN IN STAGE 1? |
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Definition
| YES, ALTHOUGH IT IS ALTERED. |
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Term
| WHEN DOES STAGE 2 BEGIN AND END? DOES STAGE 2 END WHEN A INCISION IS MADE? |
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Definition
| STAGE 2 BEGINS WITH LOSS OF CONSCIOUSNESS AND ENDS WITH THE BEGINNING OF SRTAGE 3. STAGE 2 DOESN'T END WHEN A INCISION IS MADE. |
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Term
| WHAT IS STAGE 2 ALSO KNOWN AS? |
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Definition
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Term
| DESCRTIBE THE MUSCLE TONE, RESPIRATIONS, AND PUPILLARY CHANGES ASSOCIATED WITH STAGE 2. |
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Definition
| DURING STAGE 2 THERE IS INCREASE IN MUSCLE TONE RESULTING IN HYPER EXCITABILITY EVEN TO NON-PAINFUL STIMULUS LIKE APPLYING A B/P CUFF. VERBAL COMMUNICATION DOESN'T HELP CALM THE PATIENT DOWN. THE RESPIRATIONS ARE IRREGULAR AND MAY CONSIST OF BREATH HOLDING OR APNEA. THE PUPILS ARE DILATED WITH A DIVERGENT GAZE. |
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Term
| WHAT IS MOST IMPORTANT ABOUT STAGE 2. |
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Definition
| THE PATIENT IS AT GREATEST RISK OF LARYGOSPASM THEREFORE PATIENTS SHOULD *NOT BE EXTUBATED.** |
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Term
| WHAT 2 OTHER FACTORS ARE IMPORTANT DURING STAGE 2? |
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Definition
| THE PATIENT MAY BECOME INCONTINENT OR START VOMITING. REMEMBER SHALLOW RESPIRATTIONS IS A PRECUROSE TO VOMITING. |
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Term
| WHEN DOES STAGE 3 BEGIN AND END? |
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Definition
| STAGE 3 BEGINS WITH THE ONSET OF REGULAR BREATHING AND ENDS WITH THE LOSS OF SPON. RESPIRATIONS. |
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Term
| ARE YOU ABLE TO AROUSE A PATIENT BY VERBAL, PHYSICAL, OR PAINFUL STIMULI DURING STAGE 3? |
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Definition
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Term
| DESCRIBE THE PUPILLARY CHANGES DURING STAGE 3. |
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Definition
| THEY BECOME UNRELIABLE. AT THE BEGINING OF STAGE 3 THE PUPILS ARE STILL REACTIVE TO LIGHT UNTIL THE 4TH PLANE IN WHICH THEY BECOME UNREACTIVE. |
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Term
| DESCRIBE THE CHANGES IN PLANE 1 IN RELATION TO MUSCLE TONE, RESP. RESPONSE TO SKIN INCISION, THE PUPILS,AND THE VOMITING AND LID REFLEX |
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Definition
| DECREASED MUSCLE TONE, RESPIRATION ARE REGULAR AND DEEPER THAN NORMAL AND THE RESPIRATORY RESPONSE TO SKIN INCISION IS DECREASED. THE PUPILS REACT TO LIGHT. THERE IS LOSS OF THE VOMITING REFLEX AND WITH THE LID REFLEX. |
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Term
| DURING PLANE 1 THE VOMITING, SWALLONG, AND RETCHING REFLEX DISSAPEAR. WHAT IS THE ORDER OF DISSAPEARANCE AND REAPPEARANCE? |
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Definition
| SWALLOWING, RETCHING, AND VOMITING DISAPPEAR AND REAPPEAR IN THAT ORDER. |
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Term
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Definition
| WHEN THE EYEBALLS BECOME CONCETRICALLY FIXED. |
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Term
| DESCRIBE THE RESPIRATIONS ALONG WITH RESPONSE TO SKIN, MUSCLE TONE, THE REFLEX CLOSE OF VOCAL CORDS, AND PUPILS IN PLANE 2. |
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Definition
| THE RESPIRATIONS ARE REGULAR WITH DECREASED IN TIDAL VOLUME R/T DEPTH OF BREATHING. THE RESPIRATORY RESPONSE TO SKIN DISSAPEARS. THERE IS MODERATE LOSS OF MUSCLE TONE. REFLEX CLOSURE OF VOCAL CORDS BEGINS TO DISAPPEAR. THE PUPILS ARE UNRELIABLE. |
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Term
| WHEN DOES PLANE 3 BEGIN AND END? |
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Definition
| WITH THE DECREASE IN INTERCOSTAL MUSCLE ACTIVITY. IT ENDS WHEN INTERCOSTAL ACTIVITY BECOMES ABSENT AND RESPIRATIONS IS COMPLETELY DIAPHRAGMATIC. |
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Term
| WHAT SHOULD YOU DO WHEN YOU ENCOUNTER DIAPHRAGMATIC BREATHING DURING ANESTHESIA? |
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Definition
| YOU DECREASE *NOT INCREASE THE SEDATION. THE DIAPHRAGMATIC BREATHING RESULTS IN JERKING MOVEMENTS. |
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Term
| WHAT DO THE PUPILS DO IN PLASE 3? |
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Definition
| THEY CONTINUE TO DILATE. REMEMBER PUPILS ARE STILL REACTIVE TO LIGHT DURING PLANE 1 BUT BECOME UNREACTIVE DURING PLANE 4. |
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Term
| WHEN DOES PLANE 4 BEGIN AND END? |
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Definition
| PLANE 4 BEGINS WITH COMPLETE LOSS OF INTERCOSTAL ACTIVITY AND ENDS WITH LOSS OF SPON. RESPIRATIONS. |
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Term
| DESCRIBE THE PUPIL CHANGES AND MUSCLE TONE IN PLANE 4. |
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Definition
| THE PUPILS ARE COMPLETELY DILATED AND MUSCLE TONE IS LOST. |
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Term
| WHEN DOES STAGE 4 BEGIN AND END? |
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Definition
| RESPIRATORY PARALYSIS DUE TO THE CONCENTRATION OF ANESTHETIC AGENT. IT ENDS WITH CARDIOVASCULAR COLLAPSE. |
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Term
| WHAT SHOULD YOU DO IF YOU ENTER STAGE 4? |
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Definition
| ANESTHESIA SHOULD BE LIGHTENED IMMEDIATELY |
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Term
| DESCRIBE WHAT HAPPENS WITH THE LARYNGEAL REFLEX ALONG WITH SALIVATION AND MUCOUS PRODUCTION DURING WHEN THE STAGES PROGRESS. |
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Definition
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Term
| WHAT STAGES DOES THE CORNEAL REFLEX DECREASE FROM? |
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Definition
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Term
| WHEN IS THE CONJUNCTIVAL REFLEX LOST? |
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Definition
| BEGINNING OF THE 2ND PLANE. |
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Term
| DURING MAC WHAT IS IT CONSIDERED WHEN THE PATIENT LOSES LOSS OF CONSCIOUSNESS *AND THE ABILITY TO RESPOND PURPOSEFULLY? |
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Definition
| THE ANESTHESIA CARE IS A GENERAL ANESTHETIC WHETHER OR NOT AIRWAY INSTRUMENTATION IS USED. MAC IS NOT DEFINED OF HOW SEDATED THEY ARE. |
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Term
| DESCRTIBE MINIMAL (ANXIOLYSIS) SEDATION IN RELATION TO RESPONSIVENESS, AIRWAY, SPONT. VENTILATION, AND CV FUNCTION |
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Definition
| THERE IS A NORMAL RESPONSE TO VERBAL STIMULATION. THE AIRWAY, SPON. VENTILATION, AND CV FUNCTION ARE NOT AFFECTED. |
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Term
| DESCRIBE MODERATE SEDATION/ANALGESIA (CONSCIOUS SEDATION) IN RELATION TO RESPONSIVENESS, AIRWAY, SPON. VENTILATION, AND CV FUNCTION. |
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Definition
| PURPOSEFUL RESPONSE TO VERBAL OR TACTILE STIMULATION. NO INTERVENTION IS REQUIRED WITH THE AIRWAY, THE SPON. VENTILATION IS ADEQUATE, AND THE CV FUNCTION IS USUALLY MAINTAINED. |
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Term
| DESCRIBE DEEP SEDATION/ANALGESIA IN RELATION TO RESPONSIVENESS, AIRWAY, SPON. VENTILATION, AND CV FUNCTION. |
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Definition
| PURPOSEFUL RESPONSE FOLLOWING REPEATED OR PAINFUL STIMULATION. AIRWAYVINTERVENTION IS OFTEN REQUIRED. SPONT. VENTILATION IS FREQUENTLY INADEQUATE AND CV FUNCTION MAY BE IMPAIRED. |
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Term
| DESCRIBE GENERAL ANESTHESIA IN RELATION TO RESPONSIVENESS, AIRWAY, SPON. VENTILATION, AND CV FUNCTION. |
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Definition
| PATIENTS ARE UNAROUSABLE EVEN WITH PAINFUL STIMULI. AIRWAY INTERVENTION IS OFTEN REQUIRED. SPON. VENTILATION IS FREQUENTLY INADEQUATE. CV FUNCTION MAY BE IMPAIRED. |
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Term
| WHAT MARKS THE ONSET AND OFSET OF PLANE 1? |
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Definition
| BEGINS WITH REGULAR, DEEP RESPIRATIONS AND ENDS WITH CESSATION OF EYE MOVEMENTS. |
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Term
| IN PLANE 2 THE LARYNGEAL REFLEX IS LOST. WHAT INCREASES REFLEX IRRITABILITY? |
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Definition
| INFLAMMATION OF THE UPPER RESP. TRACT. |
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Term
| WHICH PLANE DOES TEAR SECRETION INCREASE AND CORNEAL REFLEX DISAPPEAR? |
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Definition
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