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. The elderly patient experiences severe chest wall rigidity and respiratory distress. How do you anticipate that you’ll treat this patient?
  2. What is the Oculocardiac reflex? Cause and treatment.
  3. What medication would you expect to give for this rhythm?
  4. Alpha blockers, Nitroglycerin and isosorbide are contraindicated in patients taking; A. Tadalafil (Cialis), B. Digoxin (Lanoxin), C. Lisdexamfetamine (Vyvanse)
  5. Why should a surgical patient stop taking Ginger as an herbal supplement two weeks prior to surgery?


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

  1. A patient with OSA is being monitored in the PACU, what airway device do you expect to utilize?
  2. How do you position a patient experiencing epistaxis?
  3. People with addiction (Drugs / Alcohol) commonly have deficiency in which electrolyte?
  4. How do you position a patient after a tonsillectomy?
  5. 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


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

  1. Which of these medications should not be given to a patient to treat an MH crisis? Dantrolene, Calcium, Insulin, Verapamil?
  2. Your patient has Myasthenia gravis and received an NDMR in surgery. You anticipate A. Seizures, B. Hypertension and Bradycardia, C. prolonged neuromuscular blockade??
  3. How long before surgery does the patient stop taking the herbal supplement Gingko? Do not take it the morning of surgery? Stop taking it two weeks before surgery? Stop taking it two days before surgery? It is okay for a surgical patient to continue taking this herbal supplement.?
  4. Can a 16 year old who is married sign her own surgical consent?
  5. How do you position a patient post kidney transplant? 


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

  1. The patient status post Nissan fundoplication is put in a semi-fowler position. Why is that?
  2. What are the risk factors for developing PONV?
  3. How do you instruct your post maxillary dental procedure patient? Don’t rinse your mouth for 12 hours. Drink with a straw, resume exercise after 24 hours.
  4. Is there a lab test for Malignant Hyperthermia? A. No, there’s no lab test, we use family history only. B. There is a muscle biopsy that can be done, C. There are genetic markers in a blood test that is done to determine susceptibility.
  5. How do you assess the patient’s radial nerve?


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

  1. Which patient is it especially important to provide minimal verbal/tactile stimulation? Why? A. A patient who had an episode of emergence delirium in the OR, B. A patient who received Ketamine 30 minutes ago, C. A patient who is on a terbutaline drip for premature labor
  2. Explain to the 85 year old’s family why he will receive rocuronium in the OR.
  3. The patient arrives from the floor preoperatively to the holding area with hypotension, a low grade fever and tachypnea. The perianesthesia nurse suspects: Serotonin syndrome, Septic shock, Anaphylaxis
  4. According to the American society of Anesthesia, when can the member of anesthesia team leave the PACU ( sign out?) After the oral airway is removed, When patient meets Aldrete score of 8, When the PACU nurse accepts responsibility, After the first set of vital signs?
  5. How long before surgery can babies have formula?

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