Clinical Practicum I > Anesthesia Machine Check-Off > Flashcards

Anesthesia Machine Check-Off Flashcards

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1
Q

What is the first step in the Emergency Ventilation Equipment checklist?

A

Verify resuscitation bag/mask available & functioning *

This ensures that emergency ventilation equipment is ready for use.

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2
Q

In the High Pressure System, what should be verified about the oxygen cylinder supply?

A

Open cylinder & verify at least half full (about 1000 psig) *

This is crucial for ensuring adequate oxygen supply during anesthesia.

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3
Q

What is the acceptable pressure range for pipeline gauges in the High Pressure System?

A

45-50 psig *

This indicates that the central pipeline supplies are functioning properly.

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4
Q

What should be done to verify the vaporizers in the Low Pressure System?

A
  • Verify vaporizers are filled & if applicable filler ports tightened *
  • Verify Desflurane vaporizer warm/connected to electrical outlet *

Proper vaporizer function is essential for delivering anesthetic agents.

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5
Q

What is the purpose of performing a leak check of the machine low pressure system?

A

To ensure there are no leaks when vaporizers are open & closed for each vaporizer *

This helps maintain the integrity of the anesthesia delivery system.

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6
Q

What should be verified regarding the scavenging system?

A

Adjust and check scavenging system *

Proper scavenging is necessary to manage waste gases effectively.

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7
Q

What is the function of the oxygen monitor in the Breathing System?

A

Calibrate oxygen monitor and verify proper functioning of oxygen alarms *

This ensures accurate monitoring of oxygen levels during anesthesia.

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8
Q

What should be checked regarding the breathing circuit?

A

Verify breathing circuit is complete, undamaged & unobstructed *

A complete and functional breathing circuit is vital for patient safety.

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9
Q

What is the requirement for CO2 absorbent in the checklist?

A

Verify CO2 absorbent is adequate *

Adequate absorbent is necessary to prevent CO2 buildup during anesthesia.

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10
Q

What is the APL value for an open system?

A

20/min

The APL value for a closed system is 70.

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11
Q

What should be performed to verify the APL valve function?

A

Breathing system pressure and teak test

This ensures the proper functioning of the anesthesia apparatus.

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12
Q

What is the purpose of verifying the mechanical ventilation system?

A

To ensure proper function

This is crucial for effective patient ventilation.

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13
Q

What should be checked regarding unidirectional valves?

A

Proper action

This is essential for maintaining correct airflow in the system.

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14
Q

What needs to be verified and calibrated for monitors?

A

Alarm limits

Calibration is done as indicated to ensure accurate monitoring.

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15
Q

What equipment should be checked and prepared before anesthesia?

A
  • Laryngoscopes/blades
  • ET tubes
  • Oral/nasal airways

These are critical for airway management during procedures.

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16
Q

What should be checked regarding the final status of the machine?

A

Verify final status

This ensures that all systems are ready for use.

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17
Q

What should be discussed regarding the empty E cylinder of oxygen?

A

Exchanging it on the anesthesia machine

Proper management of oxygen supply is vital for patient safety.

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18
Q

What should be discussed for new case/in-between case setup?

A

Setup procedures

This ensures readiness for subsequent anesthesia cases.

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19
Q

What are the criteria for overall evaluation of the anesthesia apparatus check?

A
  • Safety
  • Orderly
  • Efficient & complete

These criteria ensure that the apparatus is ready and safe for use.

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20
Q

What equipment must be verified for emergency ventilation?

A
  • Resuscitation bag/mask
  • Oxygen source
  • Patient suction
  • Additional circuit and mask

All equipment must be available and functioning.

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21
Q

In the high pressure system, what must be verified regarding the oxygen cylinder supply?

A
  • Open cylinder
  • Verify at least half full (about 1000 psig)

This ensures sufficient oxygen supply for anesthesia.

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22
Q

What are the acceptable pressure readings for central pipeline supplies?

A
  • Pipeline gauges: 45-50 psig
  • Verify oxygen disconnect alarms

Proper pressure is crucial for safe operation.

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23
Q

What must be done to the vaporizers in the low pressure system?

A
  • Verify vaporizers are filled
  • Filler ports tightened
  • Desflurane vaporizer warm/connected

Ensures that vaporizers are ready for use.

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24
Q

What is the procedure for performing a leak check of the machine’s low pressure system?

A
  • Perform once
  • Verbalize performance with vaporizers open & closed

This step is critical for patient safety.

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25
What must be verified regarding the **function of flowmeters**?
* Verify function of flowmeters ## Footnote Flowmeters are essential for accurate gas delivery.
26
What adjustments must be made to the **scavenging system**?
* Adjust and check scavenging system * Verify proper connection between APL valve & ventilator relief valve ## Footnote Proper scavenging prevents waste gas exposure.
27
What must be calibrated and verified in the **breathing system**?
* Calibrate oxygen monitor * Verify proper functioning of oxygen alarms ## Footnote This ensures accurate monitoring of patient oxygen levels.
28
What must be verified about the **breathing circuit**?
* Complete * Undamaged * Unobstructed ## Footnote A complete and functional circuit is vital for patient ventilation.
29
What must be checked regarding **CO2 absorbent**?
* Verify CO2 absorbent is adequate ## Footnote Adequate absorbent is necessary for effective carbon dioxide removal.
30
What is the first step in the **breathing system pressure and leak test**?
Perform breathing system pressure and leak test ## Footnote This is crucial for ensuring the integrity of the anesthesia delivery system.
31
What should be verified regarding the **APL valve**?
Verify APL valve function ## Footnote The APL valve is essential for controlling the pressure in the breathing system.
32
What is the purpose of verifying the **mechanical ventilation system**?
Verify mechanical ventilation system proper function ## Footnote Ensures that the ventilation system is operating correctly for patient support.
33
What should be checked regarding **unidirectional valves**?
Verify & check proper action of unidirectional valves ## Footnote These valves are critical for ensuring unidirectional airflow in the breathing circuit.
34
What is the procedure for **monitors and equipment**?
Verify, calibrate (as indicated) & set alarm limits of all monitors ## Footnote Proper calibration and alarm settings are vital for patient safety.
35
What equipment should be checked or prepared before a procedure?
* Laryngoscopes/blades * ET tubes * Oral/nasal airways ## Footnote These tools are essential for airway management during anesthesia.
36
What should be checked regarding the **final status of the machine**?
Check/verify final status of machine ## Footnote Ensures that all systems are ready for patient use.
37
What should be documented after completing the checkout?
Document completion of checkout ## Footnote Documentation is important for accountability and safety records.
38
What should be discussed regarding the **empty E cylinder of oxygen**?
Discuss exchanging empty E cylinder of oxygen on anesthesia machine ## Footnote Ensures that the anesthesia machine has a sufficient oxygen supply.
39
What should be discussed for **new case/in-between case setup**?
Discuss new case/ in-between case setup ## Footnote Proper setup is crucial for transitioning between patients safely.
40
What are the criteria for **overall evaluation**?
* Safety * Orderly * Efficient & complete ## Footnote These criteria ensure that the anesthesia process is conducted properly.
41
What is the first step in checking the **low pressure system**?
Check initial Status of low pressure system ## Footnote This includes verifying vaporizers are filled and filler ports tightened.
42
What should be verified regarding the **Desflurane vaporizer**?
Warm & connected to electrical outlet ## Footnote This ensures the vaporizer is ready for use.
43
True or false: You should attempt to turn on more than one **vaporizer** at a time.
FALSE ## Footnote This is due to the interlock system preventing simultaneous activation.
44
What is the purpose of performing a **leak check** of the machine's low pressure system?
To ensure there are no leaks in the system ## Footnote This involves verifying the master switch and flow control valves are OFF.
45
Fill in the blank: Attach the suction bulb to the common (Fresh) gas _______.
outlet ## Footnote This is part of the leak check procedure.
46
What should be done after squeezing the suction bulb repeatedly?
Verify the bulb stays fully collapsed for at least 10 seconds ## Footnote This indicates there are no leaks in the system.
47
What should be done with the **APL valve** during the scavenging system check?
Fully open APL valve & occlude the Y-piece ## Footnote This is necessary to test the scavenging system's functionality.
48
What should the absorber pressure gauge read when the scavenger reservoir bag collapses completely?
About zero ## Footnote This indicates proper scavenging system function.
49
What is the maximum reading for the absorber pressure gauge when the O2 flush is activated?
<10 cm H2O ## Footnote This confirms that the scavenging system is functioning correctly.
50
What should be verified regarding the **flowmeters**?
Function and smooth operation of floats ## Footnote This includes adjusting the flow of all gases through their full range.
51
What is a **hypoxic mixture** in the context of anesthesia?
A mixture of O2/N2O ## Footnote It is important to verify the correct change in flow or alarm.
52
What is the first step in testing the **Scavenger System Function**?
Check connections ## Footnote Ensures all components are properly connected before proceeding.
53
What should the **regulator** on the side of the machine read for the Anesthesia Gas Scavenging system?
green (AGSS) ## Footnote Indicates that the scavenging system is functioning correctly.
54
What should you do with the **APL (Adjustable pressure limiting valve)** during the scavenger system test?
Fully open ## Footnote This allows for proper ventilation during the test.
55
What action should be taken with the black knob to close it?
Turn clockwise ## Footnote This action prevents gas from escaping during the test.
56
During the O2 Flush, what should you listen for?
Positive pressure valve to pop off ## Footnote Verify it pops off before reaching 10 cm H20.
57
What should you do with the black knob after the O2 Flush?
Turn counterclockwise to open ## Footnote This allows for gas flow to resume.
58
What should you do to the **Y-piece** during the test?
Occlude ## Footnote This helps to check the system's response to pressure changes.
59
What is the minimum **O2 flow** required during the test?
Minimum O2 flow ## Footnote Ensures adequate oxygen supply for the scavenging system.
60
What should happen to the **scavenger bag** during the test?
Collapse completely ## Footnote Indicates that the system is functioning properly.
61
What should the pressure gauge not drop below during the test?
0 ## Footnote A drop below zero indicates a malfunction in the system.
62
What should you do with the black knob at the end of the test?
Turn all the way off and turn 1-1.5 turns ## Footnote This setting should accommodate 10-15 L/min FGF.
Clinical Practicum I
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