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SEE review Horvath > SEE 4 > Flashcards

SEE 4 Flashcards

1
Q

which 3 drugs cause burst suppression

A

barbs, etomidate, propofol

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2
Q

A fibers are myelinated/unmyelinated and fast/slow pain?

A

myelinated, fast. “fast first”

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3
Q

C fibers are myelinated/unmyelinated and fast/slow pain?

A

unmyelinated slow dull pain

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4
Q

5 factors that alter the latency/amplitude of SSEP

A

dec cerebral perfusion second to hypotension , dec PaCO2, inc ICP. cerebral hypoxia, hypothermia, hyperthermia, hemodiluation (hct<15%)

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5
Q

acid + acid =

A

unionized (base)

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6
Q

base + base =

A

unionized (base)

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7
Q

blood flow highest to lowest - loss of LA d/t vascular reabsorb

A

In time I can please everyone but susie and sally (IV, tracheal, intercostal, caudal, paracervical, epidural, brachial plexus, spinal, subcutaneous

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8
Q

what are the nerves that flex the forearm

A

musculocutaneous and radial

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9
Q

what do you see with damage to the radial nerve

A

inability to ABDUCT thumb, wrist drop

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10
Q

what do you see with damage to median nerve

A

inability to ADDUCT thumb and ape hand

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11
Q

damage to what nerve = claw hand?

A

ulnar

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12
Q

which nerve is responsible for flexion at elbow

A

musculocutaneous

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13
Q

which nerve supplies the anterior thigh and knee

A

femoral

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14
Q

what does NAVEL stand for

A

nerve, artery, vein, empty space, lymphatics

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15
Q

which nerve provides sensation to medial aspect of the thigh and motor innervation to the adductor muscles located in the medial thigh

A

obturator

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16
Q

what is the most commonly injured peripheral nerve

A

ulnar

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17
Q

extreme flexion at the thigh can result in injury to which 3 nerves

A

sciatic, obturator, femoral

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18
Q

what is the most common nerve injured lower extremity and how does it manifest

A

common peroneal - most common injured during lateral position, loss of dorsiflexion of the foot, foot drop, inability to evert foot

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19
Q

lithotomy with strap medially will injure which nerve

A

saphenous

-will see numbness and tingling along medial aspect of the calves

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20
Q

injury to the ___ nerve = decreased sensation lateral thigh

A

femoral

21
Q

high points in spinal canal are at which two spots

A

C3 L3

22
Q

low points in spinal canal are at which two spots

A

T6 S2

23
Q

how many cm from skin to epidural space?

A
  1. up to 8 in obese
24
Q

2 cutting needles

A

quinke, pitcin,

25
Q

3 non cutting

A

whitacre, spotte, greene

26
Q

the tip of the 12th rib corresponds with

A

L1

27
Q

the origin of the scapular spine corresponds with

A

T3

28
Q

tip of the scapula corresponds with

A

T7

29
Q

level of the posterior superior iliac spine

A

S2

30
Q

SAB spread depends on

A

dose, positon , baracity

31
Q

C8-T1 = stellate ganglion - if blocked =

A

horners

32
Q

differential blockade progression: TPMSL

A

temp, proprio, motor, sharp pain, light touch

33
Q

which type of fiber is more resistant to blockade

A

C

34
Q

which fibers are more sensitive

A

large myelinated

35
Q

dermatome level needed for TURP

A

T10

36
Q

dermatome level needed for ESWL

A

T4-T6

37
Q

dermatome level needed for urinary bladder

A

S2-S4

38
Q

dermatome level needed for lower abd

A

T6

39
Q

dermatome level needed for kidney

A

T10-L1

40
Q

dermatome level needed for uterine

A

T8-T10

41
Q

dermatome level needed for hip arthroplasty

A

T10

42
Q

dermatome level needed for C/s

A

T4

43
Q

dermatome level needed for testicles

A

T10

44
Q

dermatome level needed for tourniquet

A

T8

45
Q

dermatome level needed for upper abd

A

T4

46
Q

dermatome level needed for cyst

A

T8-T10

47
Q

dermatome level needed for hysteroscopy

A

T10

48
Q

how does increased age effect spinal?

A

dec csf volume, inc height of spinal blockade

49
Q

which 2 LA’s cause TNS

A

mepivacaine and lidocaine

SEE review Horvath (10 decks)

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