ABCS Anesthesia and Perioperative Care Flashcards
6 cards from real ABCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ABCS Anesthesia and Perioperative Care flashcards as text
Which preoperative lab test is most critical to order for a patient on long-term anticoagulation therapy before elective cosmetic surgery?
Answer: Prothrombin time (PT/INR)
PT/INR directly measures the effectiveness of anticoagulation therapy and determines whether the patient's clotting ability is safe for surgery.
What does 'MAC' stand for in the context of anesthesia for cosmetic surgery?
Answer: Monitored Anesthesia Care
Monitored Anesthesia Care (MAC) involves sedation and analgesia administered by an anesthesia provider while the patient maintains protective reflexes.
A patient undergoing liposuction under tumescent local anesthesia receives large volumes of lidocaine-containing solution. What toxicity must be monitored?
Answer: Lidocaine systemic toxicity causing cardiac arrhythmias or seizures
High systemic levels of lidocaine from tumescent infiltration can cause central nervous system and cardiovascular toxicity, including seizures and arrhythmias.
In a US outpatient cosmetic surgery facility, who is qualified to administer general anesthesia?
Answer: A licensed anesthesiologist or certified registered nurse anesthetist (CRNA)
General anesthesia must be administered by a board-certified anesthesiologist or a CRNA operating within their state licensure and scope of practice.
What is the primary reason cosmetic surgeons performing procedures under sedation in an office setting must have emergency resuscitation equipment on hand?
Answer: To manage life-threatening complications such as airway obstruction or cardiac arrest
Emergency equipment including defibrillators, oxygen, and reversal agents is mandatory because sedation carries risks of respiratory depression and cardiovascular events.
Which postoperative vital sign change should immediately prompt a cosmetic surgery nurse to notify the surgeon about a possible hematoma?
Answer: Increasing heart rate combined with falling blood pressure
Rising heart rate and dropping blood pressure are classic signs of hemorrhagic shock, indicating significant blood accumulation such as a hematoma that requires urgent evaluation.