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principles 2, test 2, last 3 slides URI, BIS 2-5
i have a turtlehead poking out
13
Nursing
Graduate
10/15/2009

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Cards

Term
how many cases would have to be cancelled to prevent 15 cases of laryngospasm
Definition
2000, according to barrash
Term
according to barrash, can kids with a recent mild uri be anesthetized
Definition
yes, since the problems encountered are generally easily treated and wothout long term sequelae
Term
anesthetic management of a child with a URI includes....
Definition
avoid ETTc(consider LMA), pulse ox, hydrate, humidification, anticholinergics
Term
are cardiovascular paramaters a reliable indicator of anesthetic depth? how bout lack of movement to noxious stimuli? how bout EEG? how bout the finger on the pulse?
Definition
cardio changes are an unreliable tool, the use of NDMRs makes the lack of movement to noxious stimuli unreliable, EEG is accurate but hard to set up and interpret, the finger on the pulse is always a good thing!!!!
Term
what is the predicted rate of recall?
Definition
.1-.4%
Term
define implicit memory
Definition
remembering something without being aware that you are remembering it, unconscious form of memory
Term
define explicit memory
Definition
conscious intentional recollection of an event,
Term
what are the effects of anesthesia recall?
Definition
post traumatic stress disorder, nightmares, sleep disturbances, anxiety issues
Term
what are the three most common causes of recall (AUA)?
Definition
crash c-sections, trauma patients, cardiopulmonary bypass pts
Term
what can light anesthesia and poor timing of anesthetic drugs predispose your patient to?
Definition
AUA
Term
clinical signs of light anesthesia
Definition
movement (swallowing, eye movements, grimmacing), respiratory signs (increased respiratory effort, spontaneous respirations), sympathetic signs (increased HR/BP, tearing or sweating)
Term
are the signs of light anesthesia seen in all pts who are light?
Definition
no fool, these are only seen in a minority of pts clamin to have recall
Term
what does BIS do?
Definition
calculates surface EEG data into numerical form
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