TEST 2: Bier and Miscellaneous Blocks

Question 1

first cuff inflated during bier

Answer 1

distal then proximal

Question 2

only this cuff inflated during bier procedure

Answer 2

proximal

Question 3

bier: after esmarch removed how much LA is given

Answer 3

30 - 50 ml

Question 4

bier: after LA given what to do with IV

Answer 4

remove

Question 5

anesthesia occurs within what time with bier

Answer 5

onset immediate

Question 6

if esmarch not applied can do this instead for beir

Answer 6

hold arm for 5 minutes

Question 7

upper extremetier bier dose

Answer 7

30 - 50 ml 0.5% lidocaine

12 - 15 ml of 2% lidocaine

Question 8

lower extremeties bier dose

Answer 8

50-100 of 0.5% lidocaine

15 - 30 ml of 2 % lidocaine

Question 9

only additive to show benefit for beir

Answer 9

toradol

Question 10

bier: methemooglobin occurs about __ to __ hrs after admin

Answer 10

4 - 8 h

Question 11

s/s common after beir

Answer 11

tinitis, light-headed, metal taste

Question 12

bier: do not deflate tourniquet for at least ___ to prevent last

Answer 12

20 min

Question 13

monitor pt for at least ___ min after deflation

Answer 13

15 min

Question 14

intercostal nerves

Answer 14

T1 - T11 (T12 is subcostal)

Question 15

ICB: dorsal rami

Answer 15

paravertebral - sensation

Question 16

ICB: ventral rami

Answer 16

around rib - to front - motor

Question 17

ICB position

Answer 17

prone with pillow under abd and arms dangling

Question 18

landmarks for ICB

Answer 18

12th rib
7th rib (scapula edge?)

Question 19

how close to landmarks should you inj LA with ICB

Answer 19

one level higher

one level lower

Question 20

first sign of successful ICB

Answer 20

loss of pinprick sensation

Question 21

structure from most superficial to deep (nerves, arteries , veins..)

Answer 21

vein artery nerve

“VAN”

Question 22

pop felt with loss of resistance in PVB

Answer 22

costotransverse ligament

Question 23

nerves targeted in TAP

Answer 23

T7 - T11 lower thoracic
T12 subcostal
L1 ilioinguinal
L1 iliohypogastric`

Question 24

TAP avoid needle placement below this area

Answer 24

transversus abdominis