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CRNA Boards Practice-Exam TEST MOD 006 with Revised Correct Q & A 2023/2024 ATESTED
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CRNA Boards Practice-Exam TEST MOD 006 with Revised Correct Q & A 2023/2024 ATESTED what is the best way to monitor temperature in the OR with combing safety and accuracy? correct answers Esophageal temp monitoring offers best combo of accuracy and safety over an extended period of time good ...

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  • December 7, 2023
  • 30
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • crna boards
  • crna
  • practice exam test
  • mod 006
  • revised correct q a
  • atested
  • modified brooke formu
  • crna boards practice exam test mod 006
  • what are consequences of hypothermia
  • describe a first degree burn

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  • CRNA - Certified Registered Nurse Anesthetist
  • CRNA - Certified Registered Nurse Anesthetist

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CRNA Boards Practice-Exam TEST MOD 006 with Revised
Correct Q & A 2023/2024 ATESTED
what is the best way to monitor temperature in the OR with combing safety and accuracy? correct
answers Esophageal temp monitoring offers best combo of accuracy and safety over an extended period
of time

good estimation of core temp

what are consequences of hypothermia? correct answers SNS stimulation

Oxygen hgb curve shift to left

Vasoconstriction and decreased tissue PO2

Coagulopathy and plt dysfunction

Sicking of hgb S

Slowed drug metabolism

Increased vol agent solubility

MI and arrhythmia

Surgical site infection

Increased blood loss

Risk of sickle cell crisis

Prolonged emergence

Shivering increases VO2 by _____% correct answers Shivering increases VO2 by 400%

Benefits of perioperative hypothermia

Oxygen consumption decreased by _____% for every 1 degree C reduction in core body temp

what procedures/circumstances is hypothermia good for? correct answers Oxygen consumption
decreased by 5% for every 1 degree C reduction in core body temp

Good for cerebral ischemia, cerebral aneurysm clipping, TBI, CPB, CA, aortic cross clamping, carotid
endarterectomy

what 3 ingredients are needed to produce a fire?

,give examples of each correct answers Ignition source - bovie, laser

Oxidizer - oxygen N2O

Fuel - ETT, drapes, surgical supplies

Describe a first degree burn correct answers First degree burn = superficial
Epidermis only
Stinging, tender, sore

describe a second degree burn correct answers Second degree burn = partial thickness

Superficial dermis to upper dermis... considered a deep dermal burn if lose to lower dermis

Very painful

describe a third degree burn correct answers Third degree burn = full thickness

Complete destruction of epidermis and dermis

No sensation - nerve endings are obliterated

describe a fourth degree burn correct answers Fourth degree burn = full thickness

Extends To muscle and bone

No sensation - nerve endings are obliterated

Immediately after a burn, microvascular permeability increases and causes capillary leak

what are consequences of this? correct answers capillary leak immediately after a burn causes...

Edema formation

Decreased plasma oncotic pressure

Loss of intravascular volume = hypovolemia and shock

Hemoconcentration

After a burn, fluid shifts are the greatest in the first ____ hrs and stabilized by _____ hrs


what type of fluid should be avoided in the first 24 h and why? correct answers After a burn, fluid shifts
are the greatest in the first 12 hrs and stabilized by 24 hrs

Fluid requirements are highest in first 24 hrs

, Albumin should be avoided in first 24 hrs because its lost to interstitial space

Hemolysis can occur

Increasing hgb in first few days signifies inadequate resuscitation

Modified brooke formula correct answers 2 ml x %TBSA burned x kg

Half in first 8 hrs, half in next 16 hrs

Parkland formula correct answers 4 ml x %TBSA burned x kg

Half in first 8 hrs, half in next 16 hrs

compare parkland formula and modified brooke formula correct answers modified brook = 2 ml x %TBSA
burned x kg

parkland formula = 4 ml x %TBSA burned x kg

both give half in first 8 hrs and half in next 16 hrs

Clinical end points of burn resuscitation correct answers UO 0.5-1 ml/kg/kg
MAP > 60
HR 80 -100
Base def < 2

what is the kind of burn the will leave little visible damage on skin but can cause great visceral damage?

what is a sign of extensive muscle damage? correct answers Electrical burns


Myoglobinemia is result of extensive muscle damage

CO poisoning

- CO binds to hgb _____x more than oxygen?

- which way does oxyhgb curve shift?

-what does the blood look like?

- what kind of acid/base abnormality occurs?

- what happens to pulse ox?

- what is the treatment? correct answers CO binds to hgb with an affinity 200x that of oxygen

CO shifts oxygen hgb curve to left and impairs oxygen unloading to tissues

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