Exam 2: Key Terms & Objectives

Question 1

physiological abnormalities associated with renal failure

Answer 1

hypervolemia

electrolyte imbalances

metabolic acidosis

anemia

coagulopathy

seizures

HTN

CHF

Question 2

factors effecting an epidural block

Answer 2

concentration

rate

placement

adjuncts

drug

Question 3

order of blockade of nerve fibers after placement of a block

Answer 3

sympathetic

sensory

motor

Question 4

drugs to avoid or limit dose of for ESRD

Answer 4

morphine

meperidine

diazepam

H2-receptor antagonists

sevoflurane (<2 L/min)

muscle relaxants

Question 5

rate of spread of lumbar epidural due to?

Answer 5

distribution of the local

Question 6

estimation of GFR - which lab test?

Answer 6

creatinine clearance

Men: 95-140 mL/min

Women: 85-125 mL/min

Question 7

anatomical segments of brachial plexus

Answer 7

Question 8

allergic reactions more common from what type of local anesthetics

Answer 8

esters

Question 9

differences between spinal and epidural anesthesia

Answer 9

spinal - one shot, usually stronger (motor and sensory), deeper (subarachnoid),

epidural- dosed, left in for days, usually just sensory, in epidural space

Question 10

Tx for post-dural puncture headache

Answer 10

supportive -> caffeine, supine, dark room

Final -> blood patch

Question 11

spinal cord anatomy

Answer 11

Question 12

most common cause of ESRD?

Answer 12

diabetic nephropathy