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37 Cards in this Set

  • Front
  • Back
Early sign of malignant hyperthermia
Increased end tidal CO2
Common clinical sign of MH in children
jaw muscle rigidity
Creatine kinase levels of greater than __ indicate MH
20k IU
4 classes of drugs that can cause NMS
withdrawal of antiparkinsonian drugs
neuroleptics
antipsychotics
dopamine blocking agents
What is the dantrolene dose
2.5 mg/kg
Reconstituted dantrolene concentration
1mg/3 ml
What is the basic defect in MH
increased IC calcium
Lidocaine
lidocaine w/ 7
lidocaine w/o 4
Prilocaine
prilocaine w/ 8.5
prilocaine w/o 6
Mepivicaine
mepivicaine w/ 7
mepivicaine w/o 4
Bupivicaine
Bupivicaine w/ 3.5
bupivicaine w/o 2.5
Ropivicaine
Ropivicaine 3 w/o
ropivicaine 4 w
Innervation of the brachial plexus
C5-T1
Nerves of the brachial plexus
ulnar
radial
median
Nerve that you are most likely to miss when doing a brachial block
ulnar
Nerve for the little finger
ulnar
Nerve for the shoulder
axillary
Nerve for the biceps and medial forearm
medial cutaneous nerve
Nerve for the lateral aspect of the forearm
lateral cutaneous nerve
Nerve for the palm of hand and part of thumb w/ tips of 1st 2 fingers
median
Nerve for the thumb side and half of the back of the hand and area up the middle of the forearm
radial
Landmark for interscalene block
lateral border of scleidomastoid
midline clavicle- interscalene groove
level of cricoid
What kind of patient would an interscalene block be contraindicated in
someone with hemiparesis
Primary complication of the supraclavicular approach
pneumothorax
Landmark for supraclavicular block
midpoint of clavicle and interscalene groove
What nerves do you block with an axillary block
median
ulnar
medial musculocutaneous
Which nerves are on the superior side of the artery in an axillary block
median
musculocutaneous
Which nerves are on the interior side of the artery in an axillary block
ulnar
radial
How do you block the musculocutaneous nerve when performing forearm surgery
inject into the coracobrachialis muscle
Landmark for the ulnar nerve block
proximal to the olecran process of the elbow
Landmark for a median nerve block
median to the brachial artery at the elbow
Landmark for a radian nerve block
2 cm lateral to the biceps tendon slightly proximal to the lateral condyle
Test for ulnar nerve blockade
adduction of pinkie
Test for musculocutaneous nerve blockade
flexion of biceps
Test for median nerve blockade
flexion of fingers and wrist
Test for radial nerve blockade
extension of triceps and wrist
What should you never add to a bier block
epi