CRNA Boards Practice-Exam TEST MOD 006 with Revised Correct Q & A 2023/2024 ATESTED
what is the best way to monitor temperature in the OR with combing
... [Show More] safety and accuracy? correct answers Esophageal temp monitoring offers best combo of accuracy and safety over an extended period of time
good estimation of core temp
what are consequences of hypothermia? correct answers SNS stimulation
Oxygen hgb curve shift to left
Vasoconstriction and decreased tissue PO2
Coagulopathy and plt dysfunction
Sicking of hgb S
Slowed drug metabolism
Increased vol agent solubility
MI and arrhythmia
Surgical site infection
Increased blood loss
Risk of sickle cell crisis
Prolonged emergence
Shivering increases VO2 by _____% correct answers Shivering increases VO2 by 400%
Benefits of perioperative hypothermia
Oxygen consumption decreased by _____% for every 1 degree C reduction in core body temp
what procedures/circumstances is hypothermia good for? correct answers Oxygen consumption decreased by 5% for every 1 degree C reduction in core body temp
Good for cerebral ischemia, cerebral aneurysm clipping, TBI, CPB, CA, aortic cross clamping, carotid endarterectomy
what 3 ingredients are needed to produce a fire?
give examples of each correct answers Ignition source - bovie, laser
Oxidizer - oxygen N2O
Fuel - ETT, drapes, surgical supplies
Describe a first degree burn correct answers First degree burn = superficial
Epidermis only
Stinging, tender, sore
describe a second degree burn correct answers Second degree burn = partial thickness
Superficial dermis to upper dermis... considered a deep dermal burn if lose to lower dermis
Very painful
describe a third degree burn correct answers Third degree burn = full thickness
Complete destruction of epidermis and dermis
No sensation - nerve endings are obliterated
describe a fourth degree burn correct answers Fourth degree burn = full thickness
Extends To muscle and bone
No sensation - nerve endings are obliterated
Immediately after a burn, microvascular permeability increases and causes capillary leak
what are consequences of this? correct answers capillary leak immediately after a burn causes...
Edema formation
Decreased plasma oncotic pressure
Loss of intravascular volume = hypovolemia and shock
Hemoconcentration
After a burn, fluid shifts are the greatest in the first ____ hrs and stabilized by _____ hrs
what type of fluid should be avoided in the first 24 h and why? correct answers After a burn, fluid shifts are the greatest in the first 12 hrs and stabilized by 24 hrs
Fluid requirements are highest in first 24 hrs [Show Less]