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28 Cards in this Set
- Front
- Back
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What is the least toxic amide
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prilocaine
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What condition is mepivicaine contraindicated in
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OB
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With what LA do you get the highest incidence of TNS after spinal block
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lidocaine
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LA with a greater sensory block than motor
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bupivacaine
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Bupivicaine isomer that is not a vasodilator, less cardiotoxic, less potent, and less motor block
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ropivacaine
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How much tumescent solution can a patient handle
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35 mg/kg
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What are some factors that increase the incidence of direct damage to the nerve and neurotoxicity
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Concentration
Surgical procedure and position L=T>B>R |
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Direct nerve damage is caused by what aspect of the drug
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concentration
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What are three risk for TNS
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Ambulatory patients
Lithotomy position lidocaine |
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How do TNS and system toxicity differ
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system toxicity is caused by DOSE
TNS is caused by CONCENTRATION |
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Inflammatory response that causes hip, butt, and thigh pain
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transient radicular irritation
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Bowel and bladder dysfunction caused by high concentration lidocaine
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cauda equina syndrome
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People with LA allergies ie novocaine should recieve
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esters
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If you give a patient prolocaine and they turn blue how do you treat them
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methylene blue
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Two factors that are indicated in nonreversible conduction blockade
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non-myelinated nerves
higher concentration of drug |
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Only LA that isn't a respiratory depressant
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bupivicaine
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Prevents LA tachyphylaxis
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prevention of pain
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Which 6 drugs cause methemoglobinemia
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prilocaine
benzocaine lidocaine NTG sulfonamides phenytoin |
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Pulse ox reading of 85% could indicate
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methemoglobinemia
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Most common drugs used for IV regional anesthesia
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Lidocaine/Mepivicaine
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Epidural medication with a shorter duration and less profound blockade than bupivicaine
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ropivicaine
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What are the zones of neuro blockade with spinal anesthesia
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Sympathetic + 2
Sensory 0 Motor - 2 |
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LA with most cardiotoxicity
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bupivicaine
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Long acting amide
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bupivicaine
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Max dose of SQ lidocaine in tumescent solution
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35 mg/kg
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What are three good side effects of LA
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anticoagulants
antiinflammatory bronchodilators |
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What does lidocaine do to resp.
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inhibits
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Where do you infuse peripheral blocks
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into the vessel
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