The Postoperative Period

 

Score

Respiration
 
Able to take deep breath and cough

2

Dyspnea / shallow breathing

1

Apnea

0

O 2 saturation
 
Maintains SpO2 > 92% on room air

2

Needs O2 to maintain SpO2 > 90%

1

SpO2 < 90% even with supplemental oxygen

0

Consciousness
 
Fully awake

2

Arousable on calling

1

Not responding

0

Circulation
 
Blood pressure ± 20 mm Hg preop

2

Blood pressure ± 20–50 mm Hg preop

1

Blood pressure ± 50 mm Hg preop

0

Activity
 
Able to move all 4 extremities voluntarily

2

Able to move 2 extremities

1

Unable to move extremities

0


A score of 9 is required for discharge from the PACU





29.9 Questions and Answers



Questions (Choose the Most Appropriate Answer):




  1. 1.


    The most common early sign of myocardial ischemia in the PACU is

     



  1. A.


    ST-T wave changes on ECG monitor

     

  2. B.


    Diaphoresis

     

  3. C.


    Angina

     

  4. D.


    Dyspnea

     

  5. E.


    Tachycardia

     




  1. 2.


    All the following are recommended to treat the laryngospasm that occurs during emergence, EXCEPT

     



  1. A.


    Applying positive pressure by mask

     

  2. B.


    Larson’s maneuver

     

  3. C.


    Succinylcholine 2 mg/kg dose

     

  4. D.


    Succinylcholine intramuscularly 4 mg/kg

     

  5. E.


    Small dose of propofol

     




  1. 3.


    According to the ASA and the Cardiac Anesthesia/Surgery Societies, patients who are not bleeding, are stable and euvolemic can tolerate a hemoglobin as low as:

     



  1. A.


    6 g/dL

     

  2. B.


    7 g/dL

     

  3. C.


    8 g/dL

     

  4. D.


    9 g/dL

     

  5. E.


    10 g/dL

     




  1. 4.


    Which of the following tests reliably predicts recovery of airway protective reflexes?

     



  1. A.


    A negative inspiratory pressure of 25 cm H2O or less

     

  2. B.


    Sustained head lift for 10 sec

     

  3. C.


    Return of train-of-four response to preoperative levels

     

  4. D.


    A forced vital capacity of 10–12 ml/kg

     

  5. E.


    None of the above

     




  1. 5.


    Potential causes for prolonged unresponsiveness after anesthesia include all of the following, EXCEPT

     



  1. A.


    Pseudo-choline-esterase deficiency

     

  2. B.


    Hypoglycemia

     

  3. C.


    Hyperthermia

     

  4. D.


    Residual inhalational anesthetic

     

  5. E.


    Hypothermia

     

Dec 18, 2017 | Posted by in Uncategorized | Comments Off on The Postoperative Period
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