Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

APA3 levi 2019 S.Horvath > lower extremity blocks > Flashcards

lower extremity blocks Flashcards

1
Q

PUSH PULL PINCH PUNT: how do you assess the tibial nerve

A

PUSH the foot (gas pedal). plantar flexion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

PUSH PULL PINCH PUNT:how do you assess the common peroneal nerve

A

dorisiflex the foot (PULL up toward your nose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

PUSH PULL PINCH PUNT:how do you assess the tibial nerve

A

PINCH - pinch the lateral thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

PUSH PULL PINCH PUNT:how do you assess the femoral nerve

A

PUNT - place hand under popliteal fossa and raise leg, have patient extend the knee, “punt the ball”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are some indications for lumbar plexus block

A

lower extremity procedures, femoral shaft and neck, knee procedures, anterior thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

PUSH PULL PINCH PUNT:how do you assess the obturator nerve

A

abduct leg at hip and have pt adduct against pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what position for lumbar plexus block?

A

lateral decub with slight forward tilt… foot dangling free for visualization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what amt of local are you gonna inject for lumbar plexus block?

A

25-35ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the landmarks for lumbar plexus block

A

midline spinous processes, iliac crest.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

lumbar plexus block: draw a line from ___ to intersect ___. ___cm from midline is needle insertion point, and should be ____ too PSIS

A

iliac crest to intersect midline. 4cm from midline is needle insertion point.
should be superior to PSIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

lumbar plexus block: insert the needle ___ to skin

A

perpendicular.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

do not go lower then ___mA for lumbar plexus block

A

0.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

then using the stimulator for lumbar plexus block, first you get local twitches from muscles, then advance thru to get stim of ____

A

quadriceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

complications of lumbar plexus block include ___ spread (hOtn) and high absorption rate (higher risk LA toxicity)

A

epidural spread

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are indications for obturator nerve block

A

pain in hip, procedures on knee and thigh with femoral block, prevent movement during TURBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are contraindications to obturator nerve block

A

inguinal lymphadenopathy, perineal infection, hematoma at site, coagulopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how much LA for obturator nerve block?

A

5-7ml

18
Q

when performing the obturator block which two muscles will you stimulate

A

long adductor and gracilis muscle (seen in posterior and medial thigh). continue deeper to stimulate major abductor muscle seen in medial thigh

19
Q

what are complications with obturator block?

A

poss intraperitoneal puncture, damage to bladder, rectum, spermatic cord

20
Q

what are indications for femoral nerve block?

A

anterior aspect of thigh, superficial surgery on medial aspect of leg and below knee, knee arthroscopy

21
Q

where are contraindications for femoral nerve block ?

A

previous ilioinguinal surgery - [femoral vascular graft, kidney transplant], large inguinal lymph nodes or tumor, local infection, neuropathy`

22
Q

what are the ligaments for femoral nerve block?

A

inguinal ligament, inguinal crease, femoral artery

23
Q

how much local for a femoral nerve block?

A

15-20ml

24
Q

femoral nerve block: needle is inserted __cm ____ to pulse and angered ___ degrees ____

A

insert 1cm lateral to pulse and angled 45 degrees cephelad

25
Q

femoral nerve block: you will see ___ contraction (____ twitch)

A

patellar

26
Q

what does the 3 in one block block

A

entire lumbar plexus : femoral , lateral fem, obturator (questionable)

27
Q

what is the 3 in 1 block indicated for

A

patella surgery, hip fractures, femoral shaft, knee surgery

28
Q

3 in 1: landmarks

A

ASIS, inguinal ligament, abdominal facial layer fixed at ASIS

29
Q

3 in 1: needle inserted 1-2cm ___ to the inguinal ligament

A

distal

30
Q

3 in 1: ____ degree ____ direction

A

30-45, cephalad

31
Q

adductor canal block blocks what nerve?

A

saphenous nerve in thigh

32
Q

the saphenous nerve runs deep to ____ muscle, medial to ____ ____, very close to ____

A

the saphenous nerve runs deep to sartorius muscle, medial to vests medialis, very close to femoral artery

33
Q

what is the sciatic nerve block indicated for

A

lower limb surgery.

34
Q

which block is often combined with the femoral block?

A

sciatic

35
Q

which block takes a posterior approach?

A

sciatic

36
Q

what are the landmarks for sciatic block?

A

greater trochanter, PSIS. draw line in between. mark midpoint and 4cm perpendicular and distal

37
Q

how much LA for a sciatic nerve block?

A

15-25ml

38
Q

what is the popliteal block indicated for

A

lower leg surgery especially foot and ankle

39
Q

what are the two stimulation techniques for a popliteal block?

A

posterior or lateral

40
Q

the landmarks for the posterior popliteal = popliteal crease. _____ (laterally) and ______ medially

A

tendons of semitendinosus and semimembranosus

41
Q

posterior popliteal block: how will you see stimulation of the tibial?

A

plantar flexion and inversion

42
Q

posterior popliteal block: how will you see stimulation of the common peroneal?

A

dorsiflexion and eversion

APA3 levi 2019 S.Horvath (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions