Additional Key Terms Flashcards
When placing a pt in lateral decubitus position for nephrectomy, which part of the pt’s body should be over the kidney rest?
Pelvic bone –no ribs or soft tissue
What pharmacologic adjunct can be added to LA to permit a higher does of LA to be administered without risk of side effects?
epi
Immediately following administration of neuraxial anesthesia what blockade occurs at the highest dermatome level?
sympathetic (autonomic)
Rank the order of the following LA for longest to shortest duration of action for epidural anesthesia.
bupivicaine, lidocaine, mepivicaine, chloroprocaine
bupivicaine
mepivicaine
lidocaine
chloroprocaine
A 34 yo underwent a whipple is receiving epidural analgesia (bupi 0.1%, meperidine 0.1%) in PACU for postop analgesia but is requiring repead doses of phenylephrine to maintain blood pressure. What is the best course of action to take regarding pain management and epidural?
drop bupi rate and continue with hydromorphone
What level should epidural catheter be placed for upper abdominal surgery?
T5 - T6
How long should surgical anesthesia be expected to last with a Bier block?
1 hr
What treatment drug/dose/route should be employed to treat hypotension that occurs within the first few minutes after the administration of spinal anesthesia?
5 mg ephedrine
What are the most common sizes of spinal needles used?
25
27
22
For epidural anesthesia, which LA would have the quickest onset?
chloroprocaine
Which surgical position would be appropriate for administration of a hypobaric spinal anesthetic?
jackknife
What is the advantage of an awake TURP?
assessing neuro status
How much LA is used in a Bier block?
50cc
For tetracaine spinal, what can be added to LA to prolong duration of the spinal anesthetic?
epi
To perform a peripheral nerve block, what should the initial current setting be for the nerve stimulator?
0.25 mAmp
Which LA has the most rapid onset for spinal?
lidocaine
What is the max volume of bupivicaine 0.25% with epi 1:100,000 that can be safely infiltrated beside a surgical incision?
3 mg/kg
During spinal anesthesia, what physiological mechanism produces the bradycardia that precedes asystole?
cardiac accelerator fibers
T1-T4
What fluid management is employed during the early part of the case for cadaveric renal transplantation?
volume loading to get CVP from 7-8 –> 15 with 2 to 3 liters
During lap chole, a pts end tidal CO2 increases to 48 mmHg at which time an arterial blood gas is obtained. PaO2 = 84mmHg, PaCO2 = 64 mmHg, pH = 7.28. What is the most likely cause of pt’s hypercapnia?
Increased alveolar deadspace ventilation
