DAANCE MODULE IV & V-EMERGENCY PROTOCOL
SEDATION QUESTIONS AND ANSWERS 2024 - 25
Flow,meters-,what,are,these,used,to,monitor?,,ANS,-
,,determines,the,ratio,of,the,O2/N2O,mixture,as,well,as,the,rate,at,which,it,is,delivered.
Anesthesia,Machines
What,are,the,two,types,of,anesthesia?
Where,are,each,type,of,anesthesia,used?
What,are,the,two,machines,used,with,the,first,type,of,anesthesia?
What,are,two,safety,features,of,the,second,type,of,anesthesia?,,ANS,-,,-
Inhalation,and,N2O2/O2,Anesthesia
-,Inhalation,at,the,hospital,,N2O2/O2,in,office
-,vaporizers,and,ventilators
-,Regulator-fail,safe,Mechanism,and,Scavenging,System
Vaporizer
What,does,this,device,do?
What,kind,of,maintenance,does,this,device,have?,,ANS,-
,,A,device,that,converts,liquid,anesthetic,to,gases,suitable,for,delivery,with,other,gases.
Maintenance,and,Checks:,periodic,maintenance,and,frequent,calibrated
Ventilator
What,does,this,device,do?
Why,is,this,device,so,useful?
What,type,of,anesthesia,is,this,used,with?
What,kind,of,maintenance,does,this,device,have?,,ANS,-,,-
A,machine,that,breathes,for,the,pt,using,a,bellows,type,apparatus,with,+/-
,pressure,to,move,gases,in,and,out,of,the,lungs.,
-Eliminates,the,need,to,manually,squeeze,the,reservoir,bag.
-Used,with,a,closed,system,(i.e.,Endotracheal,Intubation)
,-
The,anesthetic,system,should,have,a,high/low,pressure,alarm,to,indicate,excessive,pressure,or,a,disconne
ct,has,occurred.
Regulator-Fail,Safe,Mechanism
What,setting,are,these,used?
What,level,of,O2,will,these,mechanisms,be,engaged,at?
What,kind,of,maintenance,does,this,mechanism,require,(5,things)?,,ANS,-,,-Office,based,anesthesia.,
-Most,anesthesia,machines,will,stop,delivering,automatically,when,the,O2,level,is,unsafe,(20%).,
Maintenance,and,Checks:,
-Flow,meters,,reservoir,bags,and,delivery,tubes,checked,daily,or,patentcy,and,leaks.
-Calibrate,to,manufacturer,specs
-A,record,should,be,kept,during,surgery.
-Turn,off,O2,daily
-Have,back,up,O2,available,(Sep.,O2,tanks)
Scavenging,System
What,does,this,system,do?
Why,do,we,use,this,system?,,ANS,-,,-
It,reduces,the,level,of,noxious,agents,to,an,acceptable,level,by,exhausting,them,outside,the,room.
-
Excess,gases,and,vapors,may,be,expelled,in,the,operatory,from,leaks,in,the,System,or,through,pressure,rel
ief/pop,off,valves.
Anesthetic,Gases,(color,coded,cylinders)
Why,do,we,color,code,gas,tanks?
Match,the,color,to,the,gas,(green,,blue,,gray,,yellow,,black,,brown)
Which,gases,are,associated,with,2000psi,and,750psi?
What,maintenance,is,required,for,tanks?,,ANS,-,,-
,to,minimize,potential,for,incorrect,connection,to,anesthesia,systems.
Oxygen-,Green,(2000psi)
, Nitrous,Oxide-,Blue,(750,psi)
Carbon,Dioxide-,Gray
Compressed,Air-,Yellow
Nitrogen-,Black
Helium-,Brown
-shut,off,after,last,pt.
Airway,Adjuncts
-What,is,the,first,thing,used,in,the,case,of,airway,obstruction?
-What,is,the,second,step,is,obstruction,continues?,How,is,this,placed?
-
What,is,the,first,type,of,airway,placed,if,the,initial,2,steps,do,not,work?,How,is,it,placed,,and,is,the,patient,
awake,or,asleep?
-
,What,is,the,second,type,of,airway,placed?,How,is,this,placed,and,what,is,the,benefit,of,this?,Are,patients,
awake,or,asleep?,,ANS,-,,1.,Bag/Valve/Mask/Full,Facemask,
2.,Tongue,Traction,Suture-
,1,or,2,sutures,can,be,placed,through,the,dorsum,of,the,tongue,and,grasped,with,a,lg.,hemostat.
3.Nasopharyngeal,Airway-
,lubricated,tube,passed,through,the,nares,into,the,nasal,cavity,through,the,oropharynx,to,posterior,of,the,
tongue.,Easily,inserted,and,tolerated,in,awake,patients.,
4.,Oropharyngeal,Airway-,not,tolerated,well,by,pts.,It,may,be,placed,to,position,the,tongue,more,anterior.
Supraglottic,Airways,(2,types)
What,are,the,two,types?,describe,,ANS,-,,1.,Laryngeal,Mask,Airway,(LMA)-
,a,device,that,consists,of,a,plastic,tube,at,the,end,of,which,is,a,small,air,inflated,balloon,that,sits,over,the,t
op,of,the,larynx.
2.,"I-Gel"-,the,balloon,is,filled,w/gel,rather,than,air