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31 Cards in this Set
- Front
- Back
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Occurs when there is increased synaptic strength
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Allodynia
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Sequelae of 'wind up': loss of effective
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Down modulation
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Sequelae of 'wind up': primary and secondary
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Hyperalgesia
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Preemptive actions to prevent neuroplasticity: take an accurate
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H&P
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Sequelae of 'wind up':
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Allodynia
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Preemptive actions to prevent neuroplasticity: pt ___
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Education
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Preemptive actions to prevent neuroplasticity:
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Anxiolysis
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Preemptive actions to prevent neuroplasticity: consider
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Nsaids, a2 agonists, NMDA antagonists
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Preemptive actions to prevent neuroplasticity: consider
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Regional anesthesia or combined techniques
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Preemptive actions to prevent neuroplasticity: consider
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Neuraxial opioids
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Preemptive actions to prevent neuroplasticity: consider ______ supplementation by infiltration or intra-articular injection
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LA
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Preemptive actions to prevent neuroplasticity: be prepared to _____
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Follow through
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Rendering a specific area of the body insensate to stimulus:
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Regional anesthesia
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RA can also be used for diagnosis or therapy for patients with:
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Chronic pain syndromes
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Considerations on different PK/PD of LA:
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Potency
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Considerations on different PK/PD of LA:
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Efficacy
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Considerations on different PK/PD of LA:
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Speed of onset
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Considerations on different PK/PD of LA:
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DOA
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Considerations on different PK/PD of LA:
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Tendency to produce cardiac toxicity
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Considerations on different PK/PD of LA:
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Tendency to produce differential block
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Cardiac toxicity is esp seen with ______ and can cause intractable cardiac collapse
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Bupivicaine
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the bigger the size of the nerve fibers, the greater the amount of _____ required to block conduction
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LA
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Fibers of small size are blocked _____ than those of larger diameter
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Sooner
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However, B fibers require a _____ of LA to produce an effective blockade
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Minimum concentration
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________ blockade is observed before the onset of sensory or motor block
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Sympathetic
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Onset of nerve blockade: first is ___
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B fibers
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Onset of nerve blockade: after B fibers ____
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C and a-delta
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Onset of nerve blockade: after C and a-delta fibers ___
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A-gamma
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Onset of nerve blockade: after A-gamma
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A-beta
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Onset of nerve blockade: after A-beta
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A-alpha
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Nerve block recovery is:
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In reverse order from onset
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