Anesthesia Part 3 By Alaina Darby

IV Anesthesia

Blood and adipose tissue Blood and skin In for IV anesthetics, which compartments are the first to become equilibrated? Blood and muscle Blood and liver Blood and adipose tissue Blood and skin b

Blood and adipose tissue Blood and skin In for IV anesthetics, which compartments are the last to become equilibrated? Blood and muscle Blood and liver Blood and adipose tissue Blood and skin c

Which of the following is the slowest phase of IV anesthetic pharmacokinetics? Onset Distribution Metabolism Elimination d

Which of the following parameters determines the rapidity with which a patient will wake after being given IV anesthetics? Onset Distribution Metabolism Elimination b

Which of the following will be least affected by slow liberation of drug from fat stores? Thiopental Etomidate Midazolam Ketamine b

Which of the following will be most likely affected by slow liberation of drug from fat stores? Thiopental Etomidate Midazolam Ketamine a

Which of the following will demonstrate the most accumulation with increased infusion duration? Thiopental Etomidate Midazolam Ketamine a

Sally is a 33 year old white female who has a head injury Sally is a 33 year old white female who has a head injury. Which of the following would not be an appropriate choice? Thiopental Etomidate Propofol Ketamine d

Ted is a 65 year old white male who is having a bypass surgery performed due to his recent heart attack. Which of the following would be the most appropriate choice? Thiopental Etomidate Propofol Ketamine b

Erin is a 36 year old white female who the surgeons worry might go into cardiogenic shock during the procedure. Which of the following would be the most appropriate choice? Thiopental Etomidate Propofol Ketamine d

Which of the following might be appropriate for a person with severe N/V due to chemotherapy treatment? Thiopental Etomidate Propofol Ketamine c

Which of the following might not be best for someone admitted to the ICU who has Addison’s disease? Thiopental Etomidate Propofol Ketamine b

Several months after receiving anesthesia for a procedure, Susan becomes pregnant. She has been taking her birth control as prescribed and never missed a dose. Administration of which of the following could have resulted in this outcome? Thiopental Etomidate Propofol Ketamine a

Which of the following might you consider administering with N2O due to one of the side effects of N2O? Thiopental Etomidate Propofol Ketamine c

During surgery, your patient is unconscious but her eyes remain open During surgery, your patient is unconscious but her eyes remain open. Which drug has she been given? Thiopental Etomidate Propofol Ketamine d

Administration of which drug can lead to fatal CV and organ system failure? Thiopental Etomidate Propofol Ketamine c

Inotrope administration Fluid administration Which of the following would be least helpful for a patient who has developed propofol infusion syndrome? Stop the drug Hemodialysis Inotrope administration Fluid administration c

Which of the following is not a use of benzodiazepines? Analgesia Anticonvulsant Amnesia Anxiolytic a

Jamey is supposed to be receiving midazolam as part of his anesthesia Jamey is supposed to be receiving midazolam as part of his anesthesia. What effect do you expect to see from administration of this drug? Increased BP Reduced CO Increased HR No effect c

Jamey is supposed to be receiving midazolam as part of his anesthesia Jamey is supposed to be receiving midazolam as part of his anesthesia. What effect do you expect to see on BP from administration of this drug? Increased BP Decreased BP No effect c

Joey is taking a beta blocker for his migraines and is supposed to be receiving midazolam as part of his anesthesia. What effect do you expect to see from administration of this drug? Increased BP Reduced CO Increased HR No effect b

Joey is taking a beta blocker for his migraines and is supposed to be receiving midazolam as part of his anesthesia. What effect do you expect to see on BP from administration of this drug? Increased BP Decreased BP No effect b

Respiratory depression Cardiovascular effects Which of the following is an argument for using opioids alone for surgical procedures? Respiratory depression Cardiovascular effects Decreased airway reflexes Histamine release c

Which of the following cardiovascular effects is caused by histamine release from morphine administration? Hypotension Hypertension Bradycardia Tachycardia a

Which of the following effects cannot be reversed with naloxone? Respiratory depression Hypertension Miosis Analgesia b

What does not describe neurolept-analgesia? Unresponsive to commands State of indifference Produces pain relief Diminished anxiety a

Which of the following is not true of remifentanil? Short onset Rapid recovery Potent analgesic Cumulative effects d

Which of the following would be preferred for a patient needing long-lasting analgesia? Fentanyl Morphine Remifentanil Meperidine b

Which of the following has not been implicated in malignant hyperthermia? Succinylcholine Vecuronium Desflurane sevoflurane b

Which ion is most implicated in malignant hyperthermia? Calcium Potassium Chloride Sodium a

What is not an acceptable treatment for malignant hyperthermia? Calcium channel blockers Dantrolene administration Discontinuation of agent Hyperventilation with O2 a