- •Semantic module 3. The general anesteziologiya is that reanimation Practical employment № 12
- •IV. Table of contents of teaching
- •V. Reference basis of action
- •Vі. System of teaching tasks for verification of eventual level of knowledges.
- •Vіі. The method of conducting of employment is that organizational structure of employment
- •Technological card of employment
- •Methodical pointing to work of students on practical employment
- •Semantic module 3.
- •The general anesteziologiya is that reanimation
- •Practical employment № 12
- •1 1,2 2 1,4 3 1,3 4 4,5 5 2,3 6 3,4 7 1,5 8 2,3 9 1,6 10 2,4 11 1,2
- •12 3,4 13 1,4 14 5,6 15 1,6
Semantic module 3. The general anesteziologiya is that reanimation Practical employment № 12
Theme: inhalation anesthesia. No the inhalation anesthesia
The I. Actoualnist themes
In our time from 85 to 90 % operative interferences is executed under the common anaesthetizing. This method has the row of substantial advantages before local anaesthesia and allows to execute any on a volume, by a character and duration operative interferences, the students of a 3 course must be got base knowledges on the given theme, so as they are needed for the study of surgery and anesteziologii on senior courses and practical activity of doctors-surgeons and anaesthetists.
ІІ. Whole employments:
1. To know determination of notion, terminology, classification and types of the common anaesthetizing (=II).
2. To know the theories of anesthesia, preparation of patients to anesthesia, chart of premedicatsii (=II).
3. To know the mechanism of action of narcotic preparations and muscular relacsantiv (=II).
4. To know the method of conducting of mascovogo anesthesia, his clinical stages, and also methods of conducting of endotrahealnogo, intravenoznogo, vnoutrishnom’yazevogo narcopharynx (=II).
5. To know vehicles and instruments for anesthesia, instruments for intoubatsii of trachea and method of implementation of her (=II).
6. To know complication of anesthesia, care of patients under time and after anesthesia (=II).
7. To capture the method of introduction of rotoglotcovogo povitrospryama (=III).
8. To capture the method of sanatsii of overhead respiratory tracts by means эlectrovidsmoctouvacha (=III).
ІІІ. Providing of initial level of knowledges-abilities
Literature:
Basic:
1. Cherenco M.P., Vavric G.M. General surgery. – Kiev: "Health", 1999.
2. Gouchenno S.P., Geliba M.D., Himich S D. Zagalna surgery. – Kiev: "Health", 1999
3. Gostishev V.C. Obshaya hirourgiya. – Moscow: "Medicine", 1993.
4. Petrov V.S. Obshaya hirourgiya. - S. Petersburg, 1999.
Additional:
1. Chepciy L.A., Galco-Titarenco V.F. Anesteziologiya and reanimatologiya. – Kiev: "High school", 1983.
Tests and tasks for verification of initial level of knowledges
1 Indirect actions of fentanilou:
a 1 oppression of breathing (+)
2 oppressions of cashlovogo reflex (+)
a 3 sharp kidney insufficiency
a 4 sharp hepatic insufficiency
a 5 hemorrhage in a brain
2 Which are to the stage of ether anesthesia:
1 analgezii (+)
2 peredozouvannya
a 3 braking
4 excitations (+)
a 5 renewal
3 To inhalations anesteticiv belong:
a 1 nitrous oxide (+)
2 gecsenal
3 ftorotan (+)
a 4 tiopental sodium
5 cetamin
4 To no the inhalations anesteticiv belong:
a 1 nitrous oxide
2 ftorotan
a 3 ether
a 4 tiopental sodium (+)
5 cetamin (+)
a 5 Purpose of premedicatsii is:
a 1 reduction of analgetichnoi action of anestetica
2 reductions of metabolism, that to lower a necessity in oxygen (+)
a 3 providing of sedativnogo effect (+)
4 increases of salivatsii
a 5 reduction of protective action of analgezii
6 For intoubatsii of trachea use:
1 bronhoscop
2 stetoscop
a 3 laryngoscope (+)
a 4 intoubatsiynou tube (+)
a 5 inhalation mask
7 For introductory anesthesia use :
a 1 tiopental sodium (+)
a 2 nitrous oxide
3 ftorotan
a 4 ether
a 5 sodium of ocsiboutirat (+)
a 8 Destroying from anesthesia consists in stopping of serve of anestetica to ending of operation after :
1 3 minutes
2 10 minutes (+)
3 15 minutes (+)
4 20 minutes
5 30 minutes
9 it is needed to apply Before intoubatsieyo:
a 1 giperventilyatsiyo by a mask (+)
2 analgetici
3 sedativni preparations
4 protizapalni preparations
5 antibacterialni preparations
6 miorelacsanti (+)
10 For premedicatsii the following preparations are used:
a 1 tiopental sodium
a 2 atropine the sulfate (+)
a 3 sodium of ocsiboutirat
4 droperidol (+)
5 ftorotan
6 cetamin
11 For premedicatsii the following preparations are used:
1 aminazin (+)
a 2 phenobarbital (+)
3 protizapalni preparations
4 fentanil
5 cetamin
a 6 tiopental sodium
a 12 Purpose of premedicatsii is:
a 1 increase of metabolism, that to lower a necessity in oxygen
2 removals of sedativnogo effect
3 increases of analgetichnoi action of anestetica (+)
4 reductions of salivatsii (+)
a 5 reduction of protective action of analgezii
a 13 Contra-indication for conducting of cetaminovogo anesthesia is:
1 gipertenziya (+)
a 2 shock
a 3 bleeding
a 4 eclampsia (+)
a 5 introductory anesthesia
a 6 anaesthetizing of births
no a 14 Inhalation anestetici it is possible to enter:
1 hypodermic
2 vnoutrishnoshcirno
3 endotrahealno
4 nazotrahealno
5 intravenously (+)
6 vnoutrishnom yazevo (+)
a 15 Inhalation anestetici it is possible to enter:
1 nazotrahealno (+)
2 hypodermic
3 intravenously
4 vnoutrishnom yazevo
5 vnoutrishnoshcirno
6 endotrahealno (+)