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
29.9 Questions and Answers
Questions (Choose the Most Appropriate Answer):
- 1.
The most common early sign of myocardial ischemia in the PACU is
- A.
ST-T wave changes on ECG monitor
- B.
Diaphoresis
- C.
Angina
- D.
Dyspnea
- E.
Tachycardia
- 2.
All the following are recommended to treat the laryngospasm that occurs during emergence, EXCEPT
- A.
Applying positive pressure by mask
- B.
Larson’s maneuver
- C.
Succinylcholine 2 mg/kg dose
- D.
Succinylcholine intramuscularly 4 mg/kg
- E.
Small dose of propofol
- 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:
- A.
6 g/dL
- B.
7 g/dL
- C.
8 g/dL
- D.
9 g/dL
- E.
10 g/dL
- 4.
Which of the following tests reliably predicts recovery of airway protective reflexes?
- A.
A negative inspiratory pressure of 25 cm H2O or less
- B.
Sustained head lift for 10 sec
- C.
Return of train-of-four response to preoperative levels
- D.
A forced vital capacity of 10–12 ml/kg
- E.
None of the above
- 5.
Potential causes for prolonged unresponsiveness after anesthesia include all of the following, EXCEPT
- A.
Pseudo-choline-esterase deficiency
- B.
Hypoglycemia
- C.
Hyperthermia
- D.
Residual inhalational anesthetic
- E.
Hypothermia
- 6.
Regarding hypothermia and shivering in the PACU, which is FALSE
- A.
