BSNC 3000 MIDTERM EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
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Module
BSNC 3000
Institution
BSNC 3000
Ambulatory surgery - ACCURATE ANSWERincludes outpatient, same-day, or short-stay surgery that does not require an overnight hospital stay
What is included in a CBC? - ACCURATE ANSWERhematocrit, hemoglobin, red cell count, white cell count, platelet count.
What does NPO stand for and what does...
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BSNC 3000 MIDTERM EXAM
BSNC 3000 MIDTERM EXAM WITH GUARANTEED ACCURATE ANSWERS |VERIFIED
Ambulatory surgery - ACCURATE ANSWER✅✅includes outpatient, same-day,
or short-stay surgery that does not require an overnight hospital stay
What is included in a CBC? - ACCURATE ANSWER✅✅hematocrit,
hemoglobin, red cell count, white cell count, platelet count.
What does NPO stand for and what does it mean? - ACCURATE
ANSWER✅✅nil per os (nothing by mouth)
Why are pt NPO before surgery - ACCURATE ANSWER✅✅dec risk of
aspiration
- dec gastric volume and acidity
Carb loading pre-op - ACCURATE ANSWER✅✅2-4hr before
,Fasted -> fed
Dec post-op insulin resistance, thirst, hunger, anxiety, nausea, and muscle protein
loss
What does ERAS stand for? - ACCURATE ANSWER✅✅Enhanced Recovery
After Surgery
Balanced anesthesia - ACCURATE ANSWER✅✅the practice of using
combinations of different drug classes rather than a single drug to produce
anesthesia
- reduce total dose of one -> dec side effects
Stages of General Anesthesia - ACCURATE ANSWER✅✅induction,
maintenance, recovery
- maintenance at stage 3 (sk muscle relaxation) = safe
Types of general anesthesia - ACCURATE ANSWER✅✅IV, inhaled gases and
volatile liquids
IV GA - ACCURATE ANSWER✅✅propofol
Midazolam
Ketamine
*induction mainly (rapid, but short duration)
Used for maintenance too
Inhaled gases GA - ACCURATE ANSWER✅✅nitrous oxide
,*no muscle relaxation
Volatile liquids GA - ACCURATE ANSWER✅✅deflurane
Sevoflurane
*maintenance mainly (slower but more predictable)
Used in induction too
Adverse effects of GA - ACCURATE ANSWER✅✅respiratory depression,
unable to maintain airway
Hypotension, dysrhythmias
Urinary retention, n/v
Hypothermia, malignant hyperthermia
Spinal anesthesia - ACCURATE ANSWER✅✅regional anesthesia produced by
injecting medication into the subarachnoid space
- L3/4/5
- greater effect in lower extremities/pelvis
Epidural anesthesia - ACCURATE ANSWER✅✅regional anesthesia produced
by injecting medication into the epidural space
- does not cross dura mater
- affects spinal nerves nearby
- any level of spinal cord
, Peripheral nerve block - ACCURATE ANSWER✅✅regional anesthesia into
specific nerve or nerve plexus (e.g. Brachial plexus)
Local anesthesia - ACCURATE ANSWER✅✅causes the loss of sensation in a
limited area by injecting an anesthetic solution near that area
- blocks voltage-gated Na+ channels -> inhibits AP generation and propagation
- fewer adverse effects (bc not systemic)
E.g. Lidocaine or bupivacaine
Post dural puncture headache - ACCURATE ANSWER✅✅Caused by a leakage
of CSF after spinal surgery.
Increased pressure on the brain by a decrease of fluid surrounding your brain.
More present when standing versus laying down
Assessments r/t general and spinal anesthesia (post-op) - ACCURATE
ANSWER✅✅- VS (BP, HR, RR, O2, T)
- pain assessment
- LOC, mental status assessment
- motor block assessment
- dermatome assessment
Stressors post-op - ACCURATE ANSWER✅✅pain!!
Tissue injury!
Blood loss/hemorrhage!
Infection (and other complications of sx)
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