Dwaynes stolen study guide (shhh! don't tell him Josh stole it) Flashcards
I have to give full credit to dwayne for this awesome study guide composed in first semester... Hats off to you big guy
Label
- intervetebral disk
- Pia mater
- Arachnoid
- Dura mater
- epidural Fat
- Ligamentum Flavum
- Spinous process
- Interspinous Ligament
- Supraspinous ligament
- Trasnverse process
Label
- Transverse process
- Spinous process
- Lamina
- Superior articular Process
- Vertrabral foramen (spinal canal)
- pedicle
- Vertebral body
Match
- Alpha
- Beta
- Gamma
- Delta
- B-mylinated
- C-unmylinated
- Alpha- proprioception
- Beta- Fine motor touch
- Gamma- Muscle tone
- Delta- Temp and sharp pain
- B-mylinated- Preganglionic Automatic
- C-unmylinated- Dull pain, temp, touch
What receptors and NT are r/t sympathetic?
Aplha
dopamine
Beta
Norepinehrine
Dopamine receptors
What receptors and NT are for Parasympathetic
- Nicotinic
- Muscarinic
- Acetycholine
CSF drug distribution is affected by what
- Baricity
- Contour of spinal cord
- Position of drug placement
- Dose of LA
*8 items that effect quality of your spinal
Dose
Intra ABD pressure
Curature
volume
turbulence
Drug
Baricity
vasoconstrictors
Epidural blocks are dependent upon what
Volume
site
Epidurals are especially useful for what
- cases of unpredictable duration
- Prolonged post-op analgesia
- chronic pain control
- OB analgesia and anesthesia
What order does the needle go through starting at the skin for a SAB
- supraspinous ligament
- Intraspinous Ligament
- Ligamentum Flavum
- Epidural Space
- Dura
- Arachnoid space
- Subarachnoid space
3 approaches for an epidural
midline
paramedian
Lumbarsacral (taylor)
Midlile approach landmarks?
and with 95% of population this corresponds with what level
iliac crest
spinous process
L4
Spinal anesthesia positions
sitting
lateral
prone
how do you asses the level of SAB
sympathetic
Sensory
Motor
- Temp
- Sharp pain
- Motor
Complications of spinal
- hypotension
- high spinal
- N/V
- Postop complications (urinary, back pain, PDPH)