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DAANCE- MODULE 5- OFFICE ANESTHESIA EMERGENCIES QUESTIONS & ACTUAL ANSWERS UPDATED
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DAANCE- MODULE 5- OFFICE ANESTHESIA EMERGENCIES QUESTIONS & ACTUAL ANSWERS UPDATED
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DAANCE- MODULE 5- OFFICE ANESTHESIA EMERGENCIESQUESTIONS & ACTUAL ANSWERS UPDATED 2024 - 2025
Mallampti,Classification,,ANS,-,,Visual,analysis,of,the,oral/oropharyngeal,anatomy
Mallampti,Class,I,,ANS,-,,Visualization,of,the,soft,palate,,fauces,,uvula,,anterior,and,posterior,pillars
Mallampti,Class,II,,ANS,-,,Visualization,of,the,soft,palate,,fauces,,and,uvula
Mallampti,Class,III,,ANS,-,,Visualization,of,the,soft,palate,and,the,base,of,the,uvula
Mallampti,Class,IV,,ANS,-,,Soft,palate,is,not,visible,at,all.
Signs,of,Airway,Obstruction,,ANS,-
,,Choking,,gagging,,substernal,notch,retraction,,labored,breathing,,rapid,pulse,initially,,then,decreased,pul
se,,respiratory,arrest,,and,cardiac,arrest
Treatment,of,Airway,Obstruction,,ANS,-
,,Early,Treatment:,100%,O2,via,nasal,mask,,trendelenburg,position,(pack,of,surgical,site),,digital,traction,of
,tongue,(with,gauze,,tongue,forceps,,hemostat,,or,sutures),,suctioning,of,the,oropharynx.,
Advanced,Treatment:,Abdominal,thrusts,,laryngoscopy,,cricothrotomy.
Larygospasm-,what,is,it,,and,what,can,a,partial,or,complete,closure,result,in?,,ANS,-
,,Protective,reflex,of,the,vocal,cords,that,attempts,to,stop,foreign,matter,getting,into,the,larynx,,trachea,,a
nd,lungs.,Partial,or,complete,closure,of,the,vocal,cords,can,occur,resulting,in,airway,obstruction.
Treatment,of,Laryngospasm,,ANS,-
,,100%,O2,via,nasal,hood,,maintain/establish,airway,,pack,off,surgical,site,,suction,of,oral,cavity,and,oroph
arynx,,positive,pressure,,100%,oxygen,via,bag/mask,system,,succinylcholine
(Deepening,the,level,of,anesthesia,may,also,help)
, Bronchospasm,,ANS,-
,,Generalized,contraction,of,the,smooth,muscles,of,the,small,bronchi,and,bronchioles,of,the,lungs,,resultin
g,in,restriction,of,airflow,to,and,from,the,lungs.,Patient,will,have,more,difficulty,with,expiration,than,inspir
ation.
Patients,more,susceptible,to,bronchospasm,,ANS,-
,,Patients,with,history,of,allergies,,asthma,,COPD,,and,bronchitis
Diagnosis,of,Bronchospasm,,ANS,-
,,Labored,breathing,,aspirational,difficulty,,signs,of,diminishing,respiratory,status,(cyanosis,or,decreased,v
entilation,patterns,on,capnograph)
Treatment,of,Bronchospasm,,ANS,-
,,100%,Oxygen,via,bag/mask,,albuterol,,atrovent,,epinephrine,injection,,intubation/ventilation,,steroid,inj
ection,,diphenhydramine,,aminophylline.,(Activate,EMS,after,steroid,injection,if,it,has,not,been,resolved)
Aspiration,,ANS,-
,,Occurs,when,the,contents,of,the,stomach,enter,the,lungs,secondary,to,emesis,,or,when,a,foreign,body,or
,fluid,inadvertently,enters,the,lungs,from,the,oral,pharyngeal,cavity,through,the,larynx.
Treatment,of,Emesis,with,Aspiration,,ANS,-
,,Activate,EMS,,100%,O2,via,bag/mask,,turn,patient,on,right,side,with,head,down,(trendelenburg,position)
,,tonsil,suction,,removal,of,visible,foreign,bodies,,intubation,,transport,to,acute,care,facility
Hyperventilation,,ANS,-
,,Occurs,when,the,patient,is,breathing,at,a,rate,faster,than,his/her,normal,breathing,pattern,or,breathing,
more,deeply,than,the,body,requires.,Triggered,by,a,change,in,body's,natural,balance,of,oxygen,and,carbo
n,dioxide.,Patient,exhales,too,much,carbon,dioxide,and,will,begin,to,feel,light,headed.
Treatment,of,Hyperventilation,,ANS,-
,,Early:,terminate,treatment,and,remove,foreign,bodies,from,mouth,and,remove,surgical,instruments,fro
m,view,,maintain,airway,,verbally,try,to,calm,the,patient,,monitor,vitals,,DO,NOT,GIVE,OXYGEN,,have,pati
ent,breathe,into,a,bag,to,recapture,exhaled,CO2
Advanced:,If,patient,is,not,sedated,try,IV,midazolam,,diazepam,,propofol,,etc.,,continue,to,monitor,vitals,,
discontinue,breathing,bag,as,breathing,returns,to,normal,,activate,EMS,if,condition,deteriorates
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