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DNAP 735 P&P Exam 3 Questions And Correct Answers
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DNAP 735 P&P Exam 3 Questions And Correct AnswersWhich AANA standard requires that an appropriate pre-anesthesia evaluation and
assessment be conducted and documented? ANSWER Standard I
Which AANA standard requires obtaining and documenting informed consent for
proposed anesthetic intervention? ANSWER Standard II
Which AANA standard requires the development of a patient-specific plan for
anesthesia care? ANSWER Standard III
Minimum fasting period for clear liquids ANSWER 2 hr
Minimum fasting period for breast milk ANSWER 4 hrs
Minimum fasting period for infant formula - ANSWER 6 hr
Minimum fasting period for nonhuman milk - ANSWER 6 hr
Minimum fasting period for light meal - ANSWER 6 hr
Minimum fasting period for fried foods/meat - ANSWER 8+ hrs
Ginger effects for anesthesia care - ANSWER -^ bleeding risk
-enhanced sedative effect
-hypoglycemia
-^ stomach acid
,Gingko effects for anesthesia care - ANSWER - ^ BP
- ^ bleeding risk
-decreased efficacy of anticonvulsants
-Trazadone (coma)
Ginseng effects for anesthesia care - ANSWER - ^ effects of digoxin
-Decreased effects of anticoags
-hypoglycemia
-decreased analgesic effects of opioids
Timing of elective surgery for COVID-19 recovery pt who was asymptomatic/mild
symptoms - ANSWER 4 wks
Timing of elective surgery for COVID-19 pt who was symptomatic (dyspnea, cough) who
did not require hospitalization - ANSWER 6 wks
Timing of elective surgery for COVID-19 pt who was symptomatic & also has diabetes,
immunocompromised or hospitalized - ANSWER 8-10 wks
Timing of elective surgery for COVID-19 pt who was admitted to ICU for tx - ANSWER 12
wks
Elective surgery - ANSWER a procedure that is preplanned and based on patient's
choice, surgeon availability
-within 1 yr
-delay of surgery has no "ill" effects
Urgent surgery- ANSWER Surgery is required within 24 hrs
,Emergency surgery- ANSWER Surgery required within 2-3 hrs
Scheduled surgery- ANSWER Surgery required within 2-3 wks
Major periop cardiac risks conditions (cancel sx) - ANSWER -Unstable ACS
-MI within 60 days
-unstable angina
-decompensated heart failure
-high grade arrhythmia
-severe valvular disease
-SVT with uncontrolled ventricular response
-aortic stenosis
Intermediate periop cardiovascular risk conditions - ANSWER -Mild angina
-Prior MI >60 days
-compensated/prior heart failure
-DM
Minor periop cardiovascular risk conditions - ANSWER -advanced age
-abnormal ECG
-irregular rhythm
-low functional capacity
-CVA hx
-uncontrolled systemic HTN
-obesity
-palpitations
, -minor valve disease
One MET is defined as - ANSWER amount of 02 consumed while sitting at rest
-3.5 mL 02/kg/min
METS categories - ANSWER 1: at rest
3-4: light housework, golf
4-5: weightlifting, vigorous exercise
6: moving furniture
8: basketball
10: competitive soccer
Preop 12 lead conditions - ANSWER -Known CAD
-PAD
-significant arrhythmia
-Cerebrovascular disease
*do not obtain for low-risk procedures*
Pre-op stress testing - ANSWER In pts with higher-risk procedures & METs <4
*only if it will change management*
Pre-op ECHO - ANSWER -unknown cause of dypnea
-pts with HF with worsening dyspnea
-Decreased METs
-Valve dysfunction
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