Exam 3 Review Flashcards
Chronic pain definition
Physical and emotional response to tissue damage that lasts longer than the expected duration of pain
Pain following a distribution of a nerve or a group of nerves is known as
Neuralgia
- What are three definitive signs of recurarization in the PACU? NOT Sustained head lift for > 5 seconds
a. appears uncoordinated
b. declining O2 saturation
d. increased respiratory effort
What is the primary route of elimination for Anectine?
Plasma Cholinesterase
Which neuromuscular blocker is ideal for a patient with renal disease?
Cisatracurium
Which of the following is inappropriate for an epidural placement?
Platelet count : 44
Fast impulses for sharp pain is mediated by what specific nerve fiber?
A (/) delta fibers
All of the following are reliable for monitoring neuromuscular blockade. (EXCEPT)
Normal Tidal Volume
Most neuromuscular disorders would contraindicate administration of succinylcholine due to this major
adverse reaction.
c. hyperkalemia
Patients w myasthenia gravis are _______ to non depolarizers
Sensitive
The entry of this ion facilitates release of the
neurotransmitter at the neuromuscular endplate.
Calcium
The last to be paralyzed but the first to recover among the different muscles of the body from non-depolarizers
are the muscles of the:
a. diaphragm
Train of four monitoring is used to determine?
Select one:
c. Neuromuscular Blockade
When using train of four to identify level of paralysis. How many twitches would equate to 90% of the
receptors being occupied?
1/4
Understanding the concept of receptor changes during a massive burn, the patient would require a/an _____
dose with non-depolarizers to achieve an adequate neuromuscular blockade
INCREASED
In the treatment of chronic pain, a spinal cord stimulator may be implanted in order to:
Stimulate large A-beta fibers in the dorsal columns of the spinal cord
Which of the following is an absolute contraindication to neuraxial anesthesia?
Patient refusal
For epidural catheter insertion, what is the optimal depth of the cather into the epidural space?
Select one:
3-5 cm
Spinal and epidural anesthesia have been shown to do all EXCEPT:
Increase morbidity and mortality in high-risk surgical patients.
What is the concentration of epinephrine that corresponds to a 1:200,000 mixture?Select one:
5 mcg/mL
The perception of an ordinarily non-noxious stimulus as pain known as?
Allodynia
The area of cutaneous sensation supplied by a spinal nerve that is anatomically identified as it passes through
an inter vertebral foramen is known as a: Select one:
Dermatome
When a opioid is administered epidurally, it needs to cross from epidural space through the dura to reach the
opioid receptor located in the? Select one:
Substantia Gelatinosa
Advantages of a continuous epidural catheter include three of the following: Select one or more:
Useful in the treatment of chronic pain
Useful in cases of prolonged duration
Useful for prolonged post op analgesia
In what space is the local anesthetic injected in for caudal anesthesia? Select one:
Epidural
What is the site of action for neuraxial blockade?
Select one:
Nerve Roots and Dural Cuffs
What level has the Spinal/Epidural reached if the patient reports numbness in the proximity of the umbilicus?
Select one:
Approximately T10
Hypothermic patient’s exhibit a ______ duration of neuromuscular blockade to all muscle relaxants.
Select one:
Increased
