Anesthesia Induction

These flashcards cover key concepts related to the anesthesia induction process, including patient assessment, drug administration, intubation techniques, and monitoring strategies.

What is done to evaluate baseline vitals before disconnecting the patient from pre-op?

Check vital signs and heart rhythms.

Why would we give Versed to a patient in pre-op?

To decrease anesthetic induction dose, particularly if the patient is anxious or has a high tolerance to anesthetics.

What indicates that a patient may have received too much sedative during transport to the OR?

If they do not engage in conversation or respond to questions.

What is the purpose of positioning the patient's head properly in the OR?

To optimize airway positioning and ensure proper alignment.

What should the FiO2 be set at when preparing to intubate?

100%.

What does preoxygenating the lungs for 7-9 minutes allow?

Increases the time to intubate.

What is the first drug given in a normal intubation sequence?

Fentanyl.

What must be done before placing a mask on an unconscious patient?

Tape the eyes shut.

Why is it important to not exceed 20% on the APL valve?

Exceeding can open the lower esophageal sphincter and pose a risk of aspiration.

What is done during the defasciculating dose sequence?

Give fentanyl first, followed by a low dose of rock before succinylcholine.

How is an endotracheal tube prepared for intubation?

It is placed on the patient's chest, ready for insertion.

What should be done if there is difficulty passing the endotracheal tube through the vocal cords?

Ask the nurse to pull the stylet out slightly to curve the tip of the tube.

What should be monitored after intubation to confirm successful placement?

Chest rise, condensation in the tube, end tidal CO2, and bilateral breath sounds.

When should antibiotics be connected before an incision?

Within an hour before the incision.

What is the dosage of Benadryl to be administered?

12.5 milligrams.

What should be monitored to prevent a risk of stroke after induction?

Blood pressure, particularly if it exceeds 190/200.

What is the purpose of giving antiemetics like Zofran during anesthesia?

To prevent nausea and vomiting post-surgery.