Certified Registered Nurse Anesthetist Exam 2 Acing Guaranteed

Certified Registered Nurse Anesthetist Exam 2 Acing Guaranteed Certified Registered Nurse Anesthetist Exam 2 Anesthesia Loss of the ability to feel pain caused by the administration of a drug or by other medical intervention CRNA Recognized specialty within the practice of nrusing (independently licensed professionals) CRNA Practice settings Traditional hospital surgical suites Obstetrics Critical access hospitals Ambulatory surgical centers Dental, podiatric, ophthalmic and plastic surgeons offices Pain management U.S. military, public health services, and Department of verterans affairs Education and experience A Bachelor of Science Degree A current license as a registered nurse At least one year of experience as a registered nurse in an acute care setting Graduation with a masters degree from an accredited nurse anesthesia educational program Successful completeion of a national certification exam Scope of Practice Develop and implement an anesthetic plan Monitor andmanage perioperative homeostasis Manage Postoperative care and pain management Emergency intervention team member 5 Phases of an Anesthetic 1. Pre operative period 2. Induction of Anesthesia 3. Maintenance of Anesthesia 4. Emergence from Anesthsia 5. Post Operative period 4 Essential Components 1. Amnesia 2. Analgesia 3. Muscle Relaxation 4. Physiologic Homeostasis Cost of SNS activation Hypermetabolism Impaired pulmonary function Decreased GI motility Immunosuppresion Decreased cognition Increase cardiac workload Pain Hypercoagulability Loss of muscle mass Options General Anesthesia Neuraxial Blockade Regional Anesthesia Monitored Anesthesia Care Analgesia Induction Drugs Etomidate Ketamine Methohexital Propofol Thiopental Inhaled Agents Isofurane Sevoflurane Desflurane Nitrous Oxide Opioids Alfentanil Fentanyl Sufentanil Remifentanil Meperidine Morphine Local Anesthetics 2-chloroprocaine Tetracaine Bupivacaine Etidocaine Lidocaine Mepivicaine Prilocaine Ropivacaine Neurotransmitter Blocking Agents Succinylcholine Atracurium Cisatracurium Mivacurium D-tubocurarine Doxacurium Rocuronium Vecuronium Pancuronium Pipecuronium Benzodiazepines Diazepam Midazolam Lorazepam Flumazenil Post Anesthesia Recovery 1. Report 2. Assesment 3. Discharge PACU Discharge Ability to maintain airway Regular respirations, rate appropriate Absence of restlessness and confusion Vital signs within pre op range Sp0295% Receding Neural blockaide Adequate pain control Surgical Stability of perative Site Post Operative Complications Hypoxia, atelectasis, pneumonia Embolic disorders blood loss/ fluid and electrolytes Cardiovascular instability Neuromuscular compromise mental status changes pre exsisting disease