CAPA CPAN PRACTICE REVIEW (ACTUAL / )
QUESTIONS WITH ANSWER
Hydromorphone- - ---Answers_--less PONV, good for renal insufficiency.
7x more potent than morphine
Naloxone- dose- - ---Answers_--rapid reversal of opioids only.onset of 1-2 minutes
dilute 0.4mg with 9ml of NS. give 1/2 cc @ a time...0.1-0.2mg every 3-5 minutes
Gaseous inhalation anesthetic- - ---Answers_--nitrous oxide
Halothane- - ---Answers_--the original agent
Isoflurane- - ---Answers_--most widely used. muscle relaxant, increases HR and CO, MH trigger, not an induction agent.good for neonates and critically ill
Desflurane- - ---Answers_--very fast onset and emergence, high incidence for laryngospasm
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Sevoflurane- - ---Answers_--produces minimal airway irritation, MH trigger, rapid onset/recovery
What should you watch for when caring for pt who have received inhalation agents? - ---Answers_--arrhythmias, risk for hypoxia, depression of laryngeal reflexes so be vigilant for aspiration, medicate for pain, potential for shivering
Neuromuscular blocking agents- - ---Answers_--given IV, doesn't cross BBB, fine to gross paralysis.used to relax jaw so will be able to facilitate intubation
Succinylcholine- - ---Answers_--only depolarizing agent available.ultra short acting
will cause K to increase MH trigger
Difference between non depolarizing and depolarizing agents-
- ---Answers_--non depolarizing occupy receptor sites
without activating muscle contraction. They also can be reversed
Anticholinesterase drugs are- - ---Answers_--reversal for neuromuscular blocking agents
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