Term
| History of anesthetics includes |
|
Definition
strangulation
concussion
opium
belladonna
hem
alcohol
nitrous oxide |
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Term
|
Definition
halothane
enflurane
isoflurane |
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Term
|
Definition
analgesia or reduced sensation of pain
conscious
responds to commands
reflexes present, respiration normal |
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Term
stage 2 anesthesia/sympathetic stimulation
(tachycardia, hypertension, emesis or incontinence ) |
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Definition
delirium/excitement
begins with unconsciousness
involuntary movement/excitement
respiraton irregular, muscle tone decreased |
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Term
|
Definition
surgical
divided into 4 planes
onset is characterized by return of regular respiration, regular muscle relaxation, intercostal muscle paralysis
dilated pupils, tachycardia, hypotension |
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Term
|
Definition
danger zone
respiratory cessation(last to go) must be artificially maintained. circulatory failure.
use epi to reverse |
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Term
|
Definition
putting you to sleep
all meds given prior to surgery
adjunctive drugs
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Term
|
Definition
at stage III till surgery is complete, begins when patient is at a depth of anesthesia.
give oxygen and let drugs wear off. |
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Term
|
Definition
waking up
termination of surgical procedure
p450 enzymes in liver can cause a faster recovery(wake up from anesthesia) |
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Term
| adverse reactions to anesthesia |
|
Definition
arrhythmias
blood pressure(hypertension stage II/hypotension stage III-IV)
respiration depressed or laryngospasm
explosions flammability
teratogenicity (come in contact with medical professional can cause birth probs or miscarraige.
headache, fatigue, irritable, addicting |
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Term
|
Definition
inhaled under positive pressure
or
intravenous (opiods/barbituates) |
|
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Term
|
Definition
a colorless gas
with little to no odor
in a blue tank
is a weak anesthetic(not strong enough for general)
heavier than air
non irritating/non allergenic |
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Term
| can nitrous oxide be used in combo with another intravenous agent for the purpose of general anesthetic |
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Definition
| yes nitrous combined with I V is a good general anesthesia |
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Term
| how to start nitrous, although we are not allowed to do this in FL. |
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Definition
100 % oxygen 2-3 min
primary saturation occurs 3-5 min
nitrous is gradually added in 5-10 % increments
percent of nitrous ranges 10-50% the average is 35% |
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Term
| How does nitrous affect body? |
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Definition
not metabolized in body
remains unchanged in blood and tissues
enters and exits through lungs |
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Term
| what to do when terminating nitrous |
|
Definition
100% oxygen for 5 minutes.
nitrous is removed from tissues. |
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Term
|
Definition
occurs when patient breaths room air instead of 100% oxygen for 5 min.
nitrous is expelled, there is inadequate oxygen in alveoli
HEADACHE occurs
syncope
to cure this give 100% oxygen for 3-5 min. |
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Term
| advantages of nitrous oxide |
|
Definition
rapid onset
no injection
close control
rapid revovery
relaxation |
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Term
|
Definition
| visual indicator of liters/min of oxygen and nitrous oxide. |
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Term
|
Definition
used to accommodate and exceptionally deep breath
allows for visualization
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Term
|
Definition
| removes exhaled gas to keep nitrous levels low in ambient air. |
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Term
| nitrous oxide contraindications |
|
Definition
respiratory obstruction (cold)
COPD
emotional instability(phenothiazines, tricyclic antidepressents,lithium
pregnant
claustraphobic
middle ear probs/tympanic membrane probs
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