Flashcard Set Preview
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Succ - Phase I Block1. single twitch?2. response to continuous stimulus3. TOF ratio4. anti...
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1. decreased2. no FADE - decreased bu sustained response to continual stimulus3. greater than...
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Succ - Phase II Block1. resembles what?Non-depolarizers2. twitch response?3. continual stimulus?4....
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1. non-depolarizer blockade characteristics2. decreased twitch response to single stimulus3....
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1. once Wednesky inhibition and post-tetanic facilitation disappear during reversal, what conclusion...
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1. absence of residual curarization - dcrs risk of post-op resp depression2. induction - eyesemergence...
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4 reasons muscles are relaxed/ paralyzed
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1. to obtain adequate intubating conditions2. to facilitate surgical exposure3. to improve...
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Muscles = sensitivity to NDMR's7 in order
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Upper airwayMasseterAbdominalLimbLarynxE (face)Diaphragm
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Clinical Assessment of Recovery1. 4 reliable indicators2. 4 unreliable indicators
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1. ** sustained head lift for 5 sec- sustained tongue depressor test- sustained leg lift- max...
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Nerve Monitoring1. single twitch = strength?2. TOF = strength and timing3. tetanus= strength...
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1. 0.1 - 0.15Hz2. 2Hz - 0.5sec apart3. can be 50Hz or 100Hz (5 sec apart)4. 50Hz each 0.2ms;...
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1. tetanusa. normal responseb. NDNMB responsec. depol. response2. double burst = use?
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1a. sustained contraction with no changes in post-tetanic stimulationb. will see fade as Ach...
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1. post-tetanic facilitation = will occur only in what situation?-- what does no change indicate?
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1. if TOF after tetanus is stronger --> indication that tetanus displaced NMB's and there...
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1. impulse duration2. purpose of nerve monitoring3. TOF seen at baseline, with phase I depol...
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1. 0.2sec2. to evaluate degree of muscle paralysis or recovery from paralysis3. baseline -...
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1. how many receptors r blocked?a. 4 twitchesb. 3 twitchesc. 2 twitchesd. 1 twitch2. therefore,...
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1a. 0-70% (R4 decreases at 75% blocked)b. R3 decreases at 85% receptors blockedc. R2 decreases...
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1. 3 most frequently used nerves 2. __ is stimulated to observe a __ response
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1. ulnar = adductor pollicis-- thumb adducts= correct nerve stimulation-- fingers adduct= incorrect...
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1. 5 branches of cranial nerve 7 (facial nerve)2. posterior tibial nerve monitoringa. placementb....
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1. temporal, zygomatic, maxillary, mandibular, buccal2a. behind medial malleolusb. flexion...
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1. corrugator supercilli has similar resistance to which muscle?2. which nerve is best to monitor...
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1. diaphragm2. facial nerve3. easy4. -- ease of placement/ access-- contralateral innervation...
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Residual Muscle Paralysis Evaluation-- give % of receptors occupied1. normal TV2. holds tetanus...
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1. 0-80% may be blocked2. 0 to 75-80%3. 0 to 75-80%4. 0-50%5. 0-33%
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Meaning of following Modes1. single twitch2. TOF3. DBS
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1. allows continual evaluation of depolarizing block (must know baseline)2. allows estimation...
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1. neuro monitoring tools that eval shallow &/or moderate block2. methods that monitor...
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1. twitch, TOF, DBS, tetanus2. post-tetanic count and post-tetanic facilitation3. shallow =...
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