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What is the primary goal for anesthesia monitoring?
Ensuring adequate tissue perfusion
Inadequate tissue perfusion may cause what?
- Inability to remove waste products from cellular metabolism
- Nutrients like glucose and O2 cannot be delivered to cells
What organ is particularly sensitive to changes in tissue perfusion?
Every 5 minutes, what should be monitored and recorded?
- HR, heart rythm, pulse, BP
- MM & CRT
- CO2 & O2 saturationReflexes, muscle tone, eye position
What should be recorded and monitored every 15 minutes?
- Volume of fluid admin.
- Oxygen flow rate (L/ml)
- Gas [ ]
What is the difference between subjective monitoring and objective monitoring? Which one is best?
- Subjective is the best because it involves direct monitoring through touch, visualization, and auscultation
- Objective includes use of mechanical devices which are not always accurate
What are subjective methods for monitoring?
- Palpation of peripheral pulses
- Warmth of extremeties
- Auscultation w/ stethoscope
- Assessment of CRT & MM
What is BP?
Force exerted by blood against the inner walls of blood vessels
What is the normal range for systolic BP?
(Don't forget labels!)
100 - 150mmHg
What is the mean blood pressure and what is considered normal?
- Minimum BP to maintain adequate perfusion of vital organs
- 75 - 90mmHg