Exam 3 - Inhaled Anesthetics, NMBD

Question 1

Halothane
Blood:Gas Partition Coefficient
MAC
Vapor Pressure

Answer 1

B:G = 2.54
MAC = 0.75%
Vapor Pressure = 243 torr

Question 2

Enflurane
Blood:Gas Partition Coefficient
MAC
Vapor Pressure

Answer 2

B:G = 1.90
MAC = 1.63%
Vapor Pressure = 175 torr

Question 3

Isoflurane
Blood:Gas Partition Coefficient
MAC
Vapor Pressure

Answer 3

B:G = 1.46
MAC = 1.17%
Vapor Pressure = 238 torr

Question 4

Nitrous Oxide
Blood:Gas Partition Coefficient
MAC

Answer 4

B:G = 0.46
MAC = 104%

Question 5

Desflurane
Blood:Gas Partition Coefficient
MAC
Vapor Pressure

Answer 5

B:G = 0.42
MAC = 6.6%
Vapor Pressure = 669 torr

Question 6

Sevoflurane
Blood:Gas Partition Coefficient
MAC
Vapor Pressure

Answer 6

B:G = 0.69
MAC = 1.8%
Vapor Pressure = 157 torr

Question 7

1 Hz/second decreasing to 0.1 Hz q 10 seconds

Answer 7

Single Twitch

Question 8

3 short bursts followed by 3 short bursts
Uses 50 Hz

Answer 8

Double Burst

Question 9

4 stimuli at 2 Hz in ½ second

Answer 9

Train of Four

Question 10

Very rapid, 50 Hz for 5 seconds – Continuous

Answer 10

Tetanic Stimulation

Question 11

Single twitch 3 seconds after tetanic stimulation

Answer 11

Post-Tetanic Stimulation

Question 12

Succinylcholine:
Dose
Onset
Duration

Answer 12

1 mg /kg IV
Onset - 30 to 60 seconds
Duration - 3 to 5 minutes

Question 13

Lower Dibucaine # indicates what?

Answer 13

Prolonged Succinylcholine effects - No butyrylcholinesterase

Question 14

High Dibucaine # indicates what?

Answer 14

Normal response to Succinylcholine

Question 15

Dantrolene
Use
Dose
Max dose

Answer 15

Malignant Hyperthermia
2 mg/kg IV
Max dose 10 mg/kg IV

Question 16

MACawake

Answer 16

0.3-0.5 MAC

Question 17

MAC-BAR

Answer 17

1.7-2.0 MAC

Question 18

For each decade above 50 years old, MAC decreases by..

Answer 18

6%

Question 19

Pancuronium (Pavulon)
Intubating Dose:
Onset:
Duration:
Short or long-acting?

Answer 19

Intubating Dose: 0.1 mg/kg
Onset: 3-5 mins
Duration: 60-90 mins
Most common long-acting NMBD

Question 20

What are the four intermediate-acting NMBDs?

Answer 20

Vecuronium
Rocuronium
Cisatracurium
Atracurium

Question 21

Vecuronium (Norcuron)
Intubating Dose:
Onset:
Duration:

Answer 21

Intubating Dose: 0.1 mg/kg
Onset: 3-5 mins
Duration: 20-35 mins

Question 22

Rocuronium (Zemuron)
Intubating Dose:
Onset:
Duration:

Answer 22

Intubating Dose: 0.6 mg/kg or 1.2 mg/kg
Onset: 3-5 mins; 1-2 mins with a larger dose
Duration: 20-35 mins

Question 23

Cisatracurium (Nimbex)
Intubating Dose:
Onset:
Duration:

Answer 23

Intubating Dose: 0.1 mg/kg
Onset: 3-5 mins
Duration: 20-35 mins

Question 24

Mivacurium (Mivacron)
Intubating Dose:
Onset:
Duration:

Answer 24

Intubating Dose: 0.15 mg/kg
Onset: 2-3 mins
Duration: 12-20 mins