SEE 4 Flashcards

(49 cards)

1
Q

which 3 drugs cause burst suppression

A

barbs, etomidate, propofol

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2
Q

A fibers are myelinated/unmyelinated and fast/slow pain?

A

myelinated, fast. “fast first”

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3
Q

C fibers are myelinated/unmyelinated and fast/slow pain?

A

unmyelinated slow dull pain

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4
Q

5 factors that alter the latency/amplitude of SSEP

A

dec cerebral perfusion second to hypotension , dec PaCO2, inc ICP. cerebral hypoxia, hypothermia, hyperthermia, hemodiluation (hct<15%)

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5
Q

acid + acid =

A

unionized (base)

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6
Q

base + base =

A

unionized (base)

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7
Q

blood flow highest to lowest - loss of LA d/t vascular reabsorb

A

In time I can please everyone but susie and sally (IV, tracheal, intercostal, caudal, paracervical, epidural, brachial plexus, spinal, subcutaneous

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8
Q

what are the nerves that flex the forearm

A

musculocutaneous and radial

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9
Q

what do you see with damage to the radial nerve

A

inability to ABDUCT thumb, wrist drop

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10
Q

what do you see with damage to median nerve

A

inability to ADDUCT thumb and ape hand

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11
Q

damage to what nerve = claw hand?

A

ulnar

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12
Q

which nerve is responsible for flexion at elbow

A

musculocutaneous

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13
Q

which nerve supplies the anterior thigh and knee

A

femoral

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14
Q

what does NAVEL stand for

A

nerve, artery, vein, empty space, lymphatics

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15
Q

which nerve provides sensation to medial aspect of the thigh and motor innervation to the adductor muscles located in the medial thigh

A

obturator

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16
Q

what is the most commonly injured peripheral nerve

A

ulnar

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17
Q

extreme flexion at the thigh can result in injury to which 3 nerves

A

sciatic, obturator, femoral

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18
Q

what is the most common nerve injured lower extremity and how does it manifest

A

common peroneal - most common injured during lateral position, loss of dorsiflexion of the foot, foot drop, inability to evert foot

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19
Q

lithotomy with strap medially will injure which nerve

A

saphenous

-will see numbness and tingling along medial aspect of the calves

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20
Q

injury to the ___ nerve = decreased sensation lateral thigh

21
Q

high points in spinal canal are at which two spots

22
Q

low points in spinal canal are at which two spots

23
Q

how many cm from skin to epidural space?

A
  1. up to 8 in obese
24
Q

2 cutting needles

A

quinke, pitcin,

25
3 non cutting
whitacre, spotte, greene
26
the tip of the 12th rib corresponds with
L1
27
the origin of the scapular spine corresponds with
T3
28
tip of the scapula corresponds with
T7
29
level of the posterior superior iliac spine
S2
30
SAB spread depends on
dose, positon , baracity
31
C8-T1 = stellate ganglion - if blocked =
horners
32
differential blockade progression: TPMSL
temp, proprio, motor, sharp pain, light touch
33
which type of fiber is more resistant to blockade
C
34
which fibers are more sensitive
large myelinated
35
dermatome level needed for TURP
T10
36
dermatome level needed for ESWL
T4-T6
37
dermatome level needed for urinary bladder
S2-S4
38
dermatome level needed for lower abd
T6
39
dermatome level needed for kidney
T10-L1
40
dermatome level needed for uterine
T8-T10
41
dermatome level needed for hip arthroplasty
T10
42
dermatome level needed for C/s
T4
43
dermatome level needed for testicles
T10
44
dermatome level needed for tourniquet
T8
45
dermatome level needed for upper abd
T4
46
dermatome level needed for cyst
T8-T10
47
dermatome level needed for hysteroscopy
T10
48
how does increased age effect spinal?
dec csf volume, inc height of spinal blockade
49
which 2 LA's cause TNS
mepivacaine and lidocaine