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33 Cards in this Set
- Front
- Back
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Spinal 5% lidocaine onset and duration and dose
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onset 5 minutes
duration 1 hour 20-100 mg |
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Spinal bupivicaine 0.75% onset and duration and dose
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onset 10-15 minutes
duration 2 hours dose 5-15 mg |
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Drug that epinephrine doesn't prolong
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bupivicaine
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Spinal tetracaine 0.5% onset and duration and dose
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5-10 minutes
3-4 hours 4-12 mg |
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Problem with neuraxial tetracaine
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high failure rate
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Epidural medication that can't be used with other meds
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chloroprocaine
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Epidural block that is more sensory than motor
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bupivicaine
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Spinal doses of
Fentanyl sunfenta morphine |
fentanyl 5-20mcg
sufenta 2.5-10mcg morphine 0.1-0.3 mg |
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What increases the cephalad spread in an epidural
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volume of the drug, not the concentration
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At what level of spinal blockade do you get hypotension and bradycardia
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T4
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What types of patients have respiratory complications with neuraxial blocks?
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people who rely on their accessory muscles to breathe (COPD, Asthma, Chronic Bronchitis)
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What is nausea with neuraxial anesthesia a result of
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hypotension
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What are 3 ways to prevent epidural systemic toxicity
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negative aspiration
test dose incremental dosing |
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What are the S/S of epidural hematoma
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relatively fast onset of pain, numbness, or weakness
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When must an epidural hematoma be treated
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within the first 8 hours
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How long must the patient be off of LMWH before they receive a spinal
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12-24 hours
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1st prominent spinous process
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C7
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Most prominent spinous process
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T1
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Inferior border of the scapula
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T7
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Vertebrae attached to the last ribs
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T12
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Superior iliac crest
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L4/L5
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5 pertinent facts about CSF
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in the subarachnoid space
150 mL of it pH 7.3 SG 1.0031 protein 30 mg/dL |
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Where does the spinal cord end in adults and newborns
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L1
L3 |
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Pinky
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C8
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Nipple line
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T4
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Inferior scapula
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T7
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Umbilicus
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T10
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Cardiaccelerators
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T1-T5
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GI
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T6-T12
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Recommended block height for perirectal and perianal
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L1-L2
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Recommended block height for LE, hip, TURP, cervical, vaginal
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T10
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Recommended block height for pelvic, hernia, appendectomy
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T6-T8
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Recommended block height for abdominal, C-section
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T4-T6
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