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Anesthesiologie > Neuromusculaire blokkade > Flashcards

Neuromusculaire blokkade Flashcards

1
Q

Depolariserende spierverslapping

A

Succinylcholine

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2
Q

Niet-depolariserende spierverslapping

A

Atracurium, rocuronium

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3
Q

Succinylcholine

A

Kort en snelinwerkend
Geinactiveerd door pseudoplasma-cholinesterase
Bindt niet competetief AChR

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4
Q

CAVE sux

A

Hyperkaliemie
Bradycardie
Spierpijn

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5
Q

Contra-indicaties sux

A

Brandwonden
Spierziekten
Dwarslaesie

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6
Q

Rocuronium

A 
Snel inwerkend
Hepatisch gemetaboliseerd
Werkt 60 min
Competetieve binding nAChr
Contra: spierziekten
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7
Q

Atracurium

A

Snel inwerkend
Hoffman degradatie
Werkt 45 min
Contra: spierziekten

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8
Q

Thyroarytenoid spieren

A

Snelle spieren
Meer receptoren, sneller geblokkeerd
Minder intens

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9
Q

Abductor policis

A

Trage spier
Minder receptoren, trage blokkade
Intenser

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10
Q

Sugammadex

A

Vangt rocuronium weg

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11
Q

Hersteltijd diepe blok met sugam

A

2,7 min

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12
Q

Onmiddellijke inwerking sugam

A

1,5 min

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13
Q

Neostigmine

A

Bij MG, opheffen blok icm atropine

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14
Q

Contra-indicaties neostigmine

A

Mechanische obstructie darm of urinekanaal

Post-op shock of hypodynamische circulatiestoornis

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Anesthesiologie (15 decks)

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