Term
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Definition
| characterized by a state of unconsciousness, analgesia, and amnesia, with skeletal muscle relaxation and loss of reflexes |
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Term
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Definition
| a combination of drugs to produce loss of consciousness, analgesia, and muscle relaxation, while producing and maintaining a lighter stage of anesthesia |
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Term
| what are the benefits in using balanced anesthesia |
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Definition
| fewer side effects, less n/v, and less pain |
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Term
| drugs that induce paralysis by muscle flaccidity |
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Definition
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Term
| drugs which excite muscles and promote contraction, ultimately leading to muscle paralysis after repeated excitation |
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Definition
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Term
| what are the properties of general anesthesia |
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Definition
- hypnosis = produces state of unconsciousness
- analgesia = blocks sensation pain
- amnesia = blocks memory of events associated with procedure
- muscle relaxation = relieves intense anxiety
- loss of reflexes = sensory/autonomic |
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Term
| describe stage 1 of anesthesia |
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Definition
| ANALGESIA = pt remains consciuos, may be able to converse, and experiences some analgesia as the anesthetic reduces sensory transmission in the spinothalamic tract; ends when pt becomes unconscious. |
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Term
| describe stage 2 of anesthesia |
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Definition
| EXCITEMENT = systolic pressure rises, and the pt may experience excitation and restlessness along with an increased resp. rate; pt may experience delirium; usually circumvented by administering a short acting barbituate iv beforehand. |
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Term
| describe stage 3 of anesthesia |
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Definition
| SURGICAL ANESTHESIA = may have four planes characterized by different responses of the ocular muscles, eye reflexes, and pupils; surgical procedure occurs when pt is in planes 2 and 3. |
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Term
| describe stage 4 of anesthesia |
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Definition
| MEDULLA DEPRESSION = the resp.and vasomotor centers are depressed, and spontaneous respiration has ceased; unless rapid intervention and support occur, coma and death follows. |
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Term
| inhaled anesthetic prototype |
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Definition
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Term
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Definition
| to induce and maintain anesthesia and is typically part of balanced anesthesia; used in ICUs for sedation, in obstetrics for analgesia, and in ocular surgicla procedures because it lowers intraocular pressure |
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Term
| indications of isoflurane |
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Definition
| induction and maintenancr of anesthesia; muscle relaxation; and pain management |
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Term
| adverse effects of isoflurane |
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Definition
| hypotension, aspiration, resp./cardiac depression, malignant hyperthermia, hepatotoxicity, n/v |
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Term
| severe/major interactions of isoflurane |
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Definition
| hypersensitivity. resp. disease, chronic liver disease, other CNS/cardiac/resp. depressants |
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Term
| nursing implications for isoflurane |
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Definition
| prevent aspiration by helping the patient in a side lying position and administering antiemetic drugs; manage shivering and tremors by providing warm blankets; patients need to be in a room in which air supply is continually replaced and exhaled gases are carried out through exhaust vents; promote lung expansion by having the pt TCDB and administer oxygen. |
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