Monitor & Data Interp II Flashcards
TOF measures
acetylcholine across synaptic cleft
Response from TOF are greater when ____ is more distal
negative or black
most common placement for TOF: ______ which stimulates the _______ muscle
ulnar nerve
adductor pollicus muscle (adduction of thumb)
Best site to monitor for intubation
facial
Best site to monitor for extubation
adductor pollicis
Recovery of neuromuscular function is
in reverse order
Most sensitive test of neuromuscular function
Head Lift
PNS: Single twitch
Single pulse delivered every 1-10s at 0.1-1.0Hz; lasting 0.1-0.2seconds
PNS: TOF
four twitch stimuli in 2 seconds at 0.5 second intervals at 2 Hz
Tetanus
Stimulus delivered at 50-100 Hz for 5 seconds
Indicates adequate but not necessarily complete reversal
Sustained contraction for 5 seconds from Tetanus
Goal UOP
> 0.5ml/kg/hr
most efficient way to rewarm patient
bair hugger
goal body temp
> 36C
Best way to prevent/minimize heat loss
keep room temp > 21 C