Perioperative monitoring (Parts 1-3)Exam Questions and Answers
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Perioperative monitoring
Institution
Perioperative Monitoring
Perioperative monitoring (Parts 1-3)
Monitoring a patient under sedation or general anesthesia:
1. Keep track of vital parameters
2. Know if any unexpected or life-threatening changes happen or even be able to anticipate any complications
3. Act promptly to keep patient safe
*Imperati...
Perioperative monitoring (Parts 1-3)
Monitoring a patient under sedation or general anesthesia:
1. Keep track of vital parameters
2. Know if any unexpected or life-threatening changes happen or even be able to
anticipate any complications
3. Act promptly to keep patient safe
*Imperative to keep an anesthetic record*:
-legal document- use black or blue pen, don't make a mess
-Protects staff, institution, and/or practice - Answer- What is the rationale for
monitoring patients under sedation or general anesthesia?
1. Its a *legal document*
-use black or blue pen, don't make a mess
2. Protects staff, institution and/or practice - Answer- Why is it imperative to keep an
anesthetic record? (2 reasons)
Physical exam - Answer- Always do a ____ before any drugs are given!
-TPR (temperature, pulse, and respiration) on all patients
-Check Mucous membrane color
-should be *pink*: adequate blood perfusion and oxygenation of peripheral dissues -
Answer- What vitals are checked when doing a pre-anesthetic physical exam?
Normal: adequate blood perfusion and oxygenation of peripheral tissues - Answer-
What does a pink mucous membrane mean?
Green= Pale: indicates severe anemia or sudden blood loss
Blue= Cyanotic: low blood oxygen (hypoxemia) and lack of oxygen getting to the
tissues
Yellow= Icteric: liver disease
Red= Brick Red: indicates systemic infection or can mean shock
-When you use *alpha-2 agonists* it causes so much vasoconstriction that the
mucous membranes look *Grey*- this can be normal as long as other parameters
(HR, BP, RR) are normal - Answer- Describe these abnormal mucous membranes
Grey
-this can be normal as long as other parameters (HR, BP, RR) is normal - Answer-
When you use *alpha-2 agonists* it causes so much vasoconstriction that the
mucous membranes look *_______*
, 1. Tent skin over the dorsal shoulder/caudal neck (skin turger test)
2. Asses eyes and mucous membranes (CRT)
3. Bloodwork (PCV, total solids, and lactate) - Answer- When doing a pre-anesthetic
physical exam how do you check the hydration status? (3 ways)
1. Vitals
2. Mucous membrane color
3. Hydration status
4. Cardiovascular
5. Respiratory - Answer- When doing a pre-anesthetic physical exam what are are
the areas that need to be thoroughly examined? (5)
1. Normal HR and rhythm
2. Presence of murmurs
3. Synchronous pulses
-Do the distal pulses match the auscultated heart rate?
4. Pulse Quality (strong vs. weak)
5. ECG, if you can - Answer- When doing a pre-anesthetic physical exam on the
cardiovascular system, What are you examining? (5)
1. Auscultate dorsally and ventrally (all lung fields) and over trachea
-Bronchovesicular sounds
-Depth
-Effort
2. Evidence of dyspnea? (Trouble breathing)
3. Respiratory rate
-Rate
-Effort - Answer- When doing a pre-anesthetic physical exam on the respiratory
system, What are you examining?
1st: *Evaluate*:
-History
-Blood work if present
-Physical exam
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