Extra stuff to review resp/ans Flashcards
Trigeminal Nerve CN 5 innervates:
V1,V2, V3
Mandibular branch –> Lingual nerve –> 2/3 anterior tongue
Glossopharngeal Nerve CN 9 innervates:
___ tongue
___epiglottis
etc
1/3 posterior tongue
Walls of pharnyx
Tonsils
Vallecula
Anterior surface of epiglottis
Vagus nerve CN 10
___epiglottis
Base of tongue
Posterior epiglottis
Aryepiglottic folds
Artenoids
What 3 nerves do you need to block for AWAKE oral/nasal intub??
____/CN
____/CN
____/CN
Trigeminal CN5
Glossopharngeal CN9
Vagus CN 10
Afferent limb of gag?
Efferent limb of gag?
Afferent –> Glossopharngeal CN 9
Efferent –> Vagus CN 10
Vocal cord unilateral paralysis = vocal cord _____
VC is damage to ____ nerve
ADDUCTION
Recurrent laryngeal nerve
LMA –> damage to what 3 nerves??
1.) Hypoglossal CN 12 (tongue)
2.) Lingual (V3 trigeminal)
3.) Recurrent laryngeal (branch vagus)
Afferent of laryngospasm?
Efferent of laryngospasm?
Afferent: Vagus CN 10
Efferent: Branch of vagus: Recurrent laryngeal nerve
What receptors are for Gieven?? (5)\
m
m
a
d
M2- heart neg inotrope
M4- CNS (-), decrease Ach
Alpha 2
D2= pre-synaptic
What receptors are for Gq odd(8):
M:
+5
a
h
v
111
M1
M3
M5
Alpha 1
His 1
V1 and V3
5HT2
What receptors are for Gs (5)
d
v
B1
B2
B3
D1= Post synaptic
V2= kidney
V1 =
V2 =
V3 =
V1 = heart/ vasoconstrict, ^SVR
V2 = Kidney –> Vaso
V3 = Posterior pit gland (increase autocoid hormone)
Which 2 beta blockers have membrane stabilizing intrinsic properties??
Membrane stabilizing intrinsice properties (reduce arrhythmias by inhib sodium ch)
1.) Propanolol
2.) Acebutolol
3.) Labetolol, pindolol, metoprolol (to less extent)
beta selective blockers:
Non-selective beta blockers:
Selective B-blocker
o Metoprolol—B1
o Esmolol—B1
o Atenolol—B1
o Acebutolol—B1
o Betaxolol—B1
o Biscoprolol—B1
Non-selective B-blockers
o Propranolol
o Carvedilol
o Nadolol
o Pindolol
o Sotalol
o Timolol
o Labetolol
LMA sizes
Peds tube formula:
Without cuff:
With cuff:
Depth:
Cuff pressure?
Without cuff: age/4 +4
With cuff: age/4 +3.5
Depth: internal diameter x3
Want cuff pressure <25
paracrine:
Endocrine:
Autocrine:
paracrine: Cell-cell
Endocrine: Hormone
Autocrine: Hormone by itself
Match:
Adenohyphysis: FSH
Heart: BNP
Thyroid: Calcitonin
Adipose: Leptin
Synaptic bouton (2):
Axon terminal
Synaptic knob
Inhib at post-synaptic produced by:
___ in
___out
Cl- influx
K+ efflex
5HT is made from: ____
5HT: made from L-tryptophan no tyrosine (T3 is from tyrosine)
Membrane stabilize BB (2);
Intrinsince BB (2):
For narrow angle glaucoma dont give:____
Bc: ____
What can you give?
Dont give scoploamine because it will dilate the eyes and cross BBB = Mydriassis
Robinol: does not cross BBB = no mydriasis
Right Recurrent: loops around right subclavian
Left recurrent: loops around under aortic arch = more susceptible to injury
