| A | B |
|---|
| neuromuscular blocking agents | used to relax muscles - causes prarlysis |
| Depolarizing muscle relaxer | sustains muscle contraction until flacid |
| associated with Malignant Hyperthermia | Succinylcholine |
| Inhalation agents | inhaled to circulation to brain |
| succinylcholine acts like | acetylcholine |
| amnesia | inability to remember |
| analgesia | relief from pain |
| barbiturate | used to induce sleep / sedation |
| bradycardia | heart rate of less than 60 |
| EKG, ECG | record of electrial conduction in heart - rate and rhythm |
| Entracheal tube | airway tube in trachea for patency and ventilation |
| Ene-tidal CO2 | carbon dioxide measured in expired air |
| goals of general anesthesia | unresponsive, no memory, normal physiology |
| extubation | removal of endotracheal tube |
| fasciculation | small involuntary muscle contractions |
| flacid | without muscular tone |
| hyovolemia | low blood volume |
| intubation | insertion of an endotracheal tube |
| laryngoscope | instrument to view the larynx |
| tacycardia | fast heart rate over 100 |
| vasoconstrictor | agent that constricts the blood vessels |
| physiology of general anesthesia | depression of the central nervous system |
| monitoring during anesthesia | EKG, BP, Pulse, O2 saturation, expiration CO2 |
| phases of general anesthesia | induction, maintenance, recovery |
| steps of induction | Preosygenation IV induction, muscle relaser, intubation |
| LMA | laryngeal mask airway |
| reasons to not use LMA | Gerd, food in stomach, lung disease |
| reasons to use muscle relaxer | exposure of surgical site, intubation |
| controlled respirations | ventillation occuring while using a muscle relaxer |
| advantage of controlled respirations | able to get to deep areas around diaphragm |
| extubation occurs when | the patient is breathing OK |
| Discontinue anesthesia when | as the procedure is bieng compleed |
| Cricoid pressure is applied | as intubation occurs |
| stages of anesthesia | analgesia, excitation, surgical, medullary |
| surgical stage of anesthesia | stable - surgery is done |
| escitation stage of anesthesia | unstable - part of induction |
| analgesia stage of anesthesia | loss of consciousness |
| 1st stage of anesthesia | analgesia stage |
| 2nd stage of anesthesia | excitation stage |
| 3rd stage of anesthesia | surgical stage |
| 4th stage of anesthesia | medullary depression stage |
| medullary depression | risk of cardiopulmonary arrest |
| depth of gen anesth monitored by | EKG |
| methods to give gen anesth | open drop, rectal, IV, inhaled |
| more staff risks with | open drop anesthesia |
| kinds of drugs used in gen anesth | inhalation agents, muscle relaxers |
| Most potent narcotic | sufentanil |
| Micazolam (Versed) | Preop sedative/amnesic |
| Ketamine (ketolar) | IM or IV anesthetic agent |
| Propofal (Diprovan) | IV induction agent that is white and contains egg |
| narcotics used for | pain relief |
| Inhaled agents advantages | easy to give, control, assess |
| Nitrous Oxide | only gas anesthetic agent |
| triggering agent for Malignant Hyperthermia | liquid vapor agents and depolarizing muscle relaxer |
| when a muscle contracts | depolarization |
| acetylcholinesteraise | from muscle and breaks down acetylcholine |
| acetylcholine | causes muscle to contract |
| Naloxone (Narcan) | reversing agent for narcotics |
| Succinylcholine | depolarizing muscle relaxer |
| Flumazenil (Mazicon) | reversal agent for benzodiazepines |
| to extubate | breathing, suction, pull tube, leave OR |
