SHORT ANSWER: INTRAOPERSTIVE NURSING MANAGEMENT

REGODOS, JULIUS IAN CYRUS G.

1. Describe malignant hyperthermia.

______________________________________________________________

ANSWER: Malignant Hyperhermia is a rare life threatning condition due to exposure to most anaesthetic
agents inducing a drastic and uncontrolled increase in skeletal muscle oxidative metabolism that is able
to overwhelm the body's capacity to supply oxygen, regulate CO2 and body temperature ultimately
leading to circulatory collapse and death if untreated.

2. Explain why anesthesia dosage is reduced with age. ___________________________________.

ANSWER: Aging results in a decrease in nervous tissue mass, neuronal density and concentration of
neurotransmitters, as well as norepinephrine and dopamine receptors. Meaning the higher one's age
goes the more vulnerable the brain is to anaesthesia thus reduced dosage is done.

3. List four primary responsibilities of a Registered Nurse First Assistant (RNFA):

________________________________, ____________________________,
____________________________,and _____________________________.

ANSWER: Handling Tissue, providing exposure at the operative field, suturing and maintaining
homeostasis.

4. Five health hazards associated with the surgical environment are:

__________________________,______________________________, __________________________,
____________________, and

_______________________.

ANSWER: Faulty equipment, improper use of equipment, exposure to toxic substances, surgical plume
and infectious waste.

5. The type of anesthesia most likely to be used for a patient undergoing a colonoscopy is
_______________, and the most frequently used agents are __________________ and
_________________.

ANSWER: Diazepam, propofol and midazolam

6. The anesthetic most commonly used for general anesthesia by intravenous injection is
________________, which can cause ______________________ as a serious, toxic side effect.

ANSWER: Profopol, PRIS (Profopol Infusion Syndrome)

7. Spinal anesthesia is a conduction nerve block that occurs when a local anesthetic is injected into

_________________________________________________________________________________.

ANSWER: Into the subarachnoid space at the lumbar level usually at L4 & L5

8. The conduction block anesthesia commonly used in labor is the

___________________________________.

ANSWER: Transsacral Block

9. What nursing assessment indicates that a patient has recovered from the effects of spinal anesthesia?

_____________________________________________________________________________________
____________________

ANSWER: complete return sensation in the patient's toes in response to a pinkprick, indicates recovery

10. List five potential intraoperative complications: ________________________,

________________________, _____________________, ____________________, and
_________________________.

ANSWER: Nausea and Vomiting, anaphylaxis, hypoxia, hypothermia, anaesthesia awareness and
malignant hyperthermia.

11. With malignant hypothermia, the core body temperature can increase 1º to 2º every 5 minutes,
reaching or exceeding a body temperature of _______________ degrees in a short amount of time.

ANSWER: 42 C