Neuro 3 - Traumatic ICH, Paralytics

Question 1

Cerebral perfusion pressure =

Answer 1

MAP - ICP

Question 2

Cerebral perfusion pressure recommended by the Brain Trauma Foundation

Answer 2

60-70 mmHg

Question 3

SBP should be kept above ___ for TBI pts 50-69 yrs

Answer 3

100 mmHg

Question 4

SBP should be kept above ___ for TBI pts up 50 yrs or 70 and older.

Answer 4

110 mmHg

Question 5

Intervention shown to improve mortality and Neuro outcomes in selected pts w/ intraventricular hemorrhage

Answer 5

TPA via EVD

Question 6

Atracurium and cisatricurium have a longer onset of action than rocuronium but have the advantage of _____.

Answer 6

Non-hepatic metabolism

Question 7

Rapid paralytic contraindicated in paralysis or other severe chronic weakness

Answer 7

Succinylcholine

Question 8

Why are hemiparetic and hemiplegic pts at higher risk of hyperkalemia with succinylcholine?

Answer 8

Upregulation of nicotinic acetylcholine receptors on muscles that will release K+ if stimulated by succinylcholine.