New assignments will be posted every Wednesday and the discussion will continue through Tuesday. End of day on Tuesday the previous week’s discussion thread will close and the discussion will move to the new assignment. I will be monitoring the discussion throughout the week and adding comments and instruction as we go. I encourage you to comment and ask for clarification as well.   ~ Wendy

Video Summary

Your assignments this week are as follows. Do your assignments and post the answers in the forum. Remember to cite your source. We’ll comment and discuss in the forum.

Next Wednesday, I’ll post a video summary.

 

If your last name starts with B, A, D, E, or F

  1. Your patient has Myasthenia gravis and received an NDMR in surgery. You anticipate A. Seizures, B. Hypertension and Bradycardia, C. prolonged neuromuscular blockade?
  2. What is the treatment for post obstructive pulmonary edema (POPE)?
  3. 6 PVC’s per minute, ST depression, U wave, flatten T wave. What does the perianesthia nurse suspect??
  4. Which herbals prolong anesthesia?
  5. How can alcohol withdrawal be treated immediately?

 

If your last name starts with C, G, I, J, or K

  1. The patient with chronic alcohol use is experiencing withdrawal. What does this look like?
  2. How long until you can use the AV fistula for dialysis?
  3. After a malignant hyperthermia episode in the OR the patient transfers to the PACU. After fully recovered from anesthesia the patient will D/C from PACU to where? Phase II recovery, The medical surgical floor overnight, the ICU for 48-72 hours
  4. Is a heavy smoker at increased risk for Cor pulmonale? Explain.
  5. How long before surgery should a patient have clear liquids?

 

If your last name starts with S, L, N, O, or P

  1. Which medication should be questioned for the patient with a spinal cord injury? Propofol, etomidate, succinylcholine, Rocuronium?
  2. There are several triggers for a Sickle Cell crisis.  How is this managed in a surgical patient?
  3. Your patient is on Methadone. What do you expect in PACU? To use Opioids, Avoid Opioids, Give Narcan??
  4. What would you expect to give to a patient with Von Willebrand’s Disease preoperatively to prevent excess surgical bleeding?
  5. Pyrexia is a defining symptom of which condition? LAST, COPD, MH or DVT? 

 

If your last name starts with H, Q, R, T, or U

  1. What are the early signs of MH?
  2. What is the first sign of high spinal in patients?
  3. A nurse shuts off an alarm on a pacu patient and does not see when the patient goes into a lethal rhythm, what is this nurse guilty of?
  4. What is the most common problem for patients post prostatectomy?
  5. What is the surgical treatment for Myasthenia Gravis?

 

If your last name starts with M, V, W, X, Y, or Z

  1. Where does the exposure control plan for blood borne pathogens requirement originate?
  2. Why do Laparoscopic procedures require general anesthesia?
  3. OSA/COPD patient post op instructions include: 1) avoid all pain medications. 2) sleep supine 3) something different?
  4. What do you tell a patient that had skin graft about the donor site? 1. You don’t have to elevate the donor site. 2. Donor site will hurt more than graft site. 3. Keep both sites dependent.
  5. People with addiction (Drugs / Alcohol) commonly have deficiency in which electrolyte?

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