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30 Cards in this Set

  • Front
  • Back

Characterized by bowel and bladder dysfx along with multiple nerve root injuries

CES

CES: lower motor neuron deficits cause

Paresis of legs

CES: deficits may be

Patchy

CES: pain may mirror____

Nerve root compromise

Pt's on long term coumadin must have

Normal PT and INR after stopping

If only one dose was given within 24 hours it is ok to do neuraxial anesthesia

Coumadin

Removing epidural cath on pts receiving low dose (______) coumadin is reported safe

5mg

In pt's with normal coat profile, _________ alone do not appear to increase risk of hematoma

ASA and NSAIDS

Wait 14 days for

Ticlopidine

Wait 7 days for

Plavix

Wait 48 hours for

Abciximab

Wait 8 hours for

Eptifibatide

Dose of mini dose subcu that is not a contraindication to neuraxial anesthesia

5,000 units BID

If pts are to receive heparin intraop, blocks should be performed ____ before dose

1 hour

Removal of epidural cath should occur ____ prior and/or _____ after any heparin dose

1 hour; 4 hours

Incidence of spinal hematoma has been shown to increase with the use of:

Lovenox

If there is any indication of a traumatic neuraxial procedure, LMWH should be delayed until

24 hours p/o

Catheters should be removed ____ prior to initial LMWH dose

2 hours

If cath is already present, it should be removed ____ following last dose of LMWH and next dose should be held ____

12 hours; 2 hours

PNB complication:

Neuro injury

PNB complication:

Pulmonary compromise

PNB complication:

HOTN, brady

PNB complication:

Muscle injury

PNB complication:

Hematoma

There is greater potential for complications in ____ blocks

UE

Interscalene s/e:

Horner's syndrome

Interscalene s/e:

Phrenic nerve paralysis

Interscalene s/e:

RLN paralysis

RLN paralysis is more common with

Landmark tech and high vol

Interscalene complication:

IV injection --> vertebral artery