So I post these for all students that have never been pimped.. Most of them will be too easy for the experienced, but I think I would have liked to know what to expect on the first days... These were questions I was asked on an "shadow/observation" day set up by my school... They are in no particular order, just which ever way i could remember them... The answers are the answers from the MDA

Q: What is everyone's job in here (OR)?
A: to extubate your patient; to "screw" you

Q:What is the best was to determine endotracheal intubation?
A: bilateral breath sounds; CO2 can be positive in the stomach

Q: What can cause a CO2 detector to change color when in the stomach?
A: swallowed air, carbonated beverages

Q: What concentrations does Nimbex come in?
A: 10mg/ml and 20mg/ml

Q: What concentration does heparin come in?
A: 100u/ml; 1000u/ml; 10,000u/ml

Q: What is the baseline flow rate of an Aline?
A: 3cc/hr

Q: Do muscle relaxants work on all muscle?
A: No, the heart, etc. still pump

Q: Does paralytic decrease MAC?
A: no, the paralytic does not affect MAC, the volatile helps your paralytic b/c it has relaxant properties

Q: What is normal ETCO2?
A: 35-45

Q: Why do we document VS q 5 min?
A: because we are legally required to document q 5 min

Q: What is HTN/HoTN?
A: 20-30% deviation from baseline

Q: How long can propofol sit out? Diprivian?
A: propofol 6hrs; Diprivan 7hrs

Q: How long can they sit out in ICU, and why the difference?
A: 12hrs... because they are the ICU and we are the OR

Q: What is the difference b/t MAC and "local w/ standby"?
A: gov't pays for MAC

Q: First monitor you should put on the pt in the OR?
A: pulse ox.. can get more info from it than any other...

Q: Onset of Versed?
A: 1 circulation time is the best answer... not finite b/c its based on CO

Q: ASA classes

Q: If the surgeon cuts and the pt moves what is the surgeon going to say?
A: "pt is awake." is the pt awake? NO definition of MAC is 50/50 movement on surgical incision...

very basic stuff, but fun