Author Question: The operating room nurse is reading the anesthesiologist's consult of a 30-year-old female patient ... (Read 23 times)

theo · **on:** Jul 23, 2018

The operating room nurse is reading the anesthesiologist's consult of a 30-year-old female patient who will undergo surgical repair of a meniscus tear later that day. The nurse reads that total intravenous anesthesia (TIVA) is indicated.

What is the most likely rationale for this intervention? A) The patient has a diagnosis of chronic obstructive pulmonary disease (COPD).
B) The patient's insurer does not reimburse for inhaled anesthesia.
C) The patient has previously experienced severe postoperative nausea and vomiting.
D) The patient is in the first trimester of pregnancy.

Question 2

A patient is complaining of nausea and vomiting after general anesthesia. Which of the following medications will be administered for the treatment of nausea and vomiting?

A) First-generation antihistamine agent: chlorpheniramine (Chlor-Trimeton)
B) First-generation antihistamine agent: hydroxyzine (Vistaril)
C) Second-generation antihistamine agent: loratadine (Claritin)
D) Second-generation antihistamine agent: cetirizine (Zyrtec)

asdfasdf · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
In patients who have history of severe postoperative nausea and vomiting, the anesthetist may substitute the inhalation anesthetic with a technique called total intravenous anesthesia (TIVA). TIVA is not necessarily indicated in patients who are pregnant or who have COPD. Insurance considerations would not normally be an absolute indication for the use of TIVA.

Answer to Question 2

B