Shared Flashcard Set

Details

Spinal/Epidural/Regional
CRNA board study
26
Nursing
Graduate
12/10/2009

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Cards

Term
What is the specific gravity of CSF?
Definition
1.003-1.008
Term
What are the max spinal doses of Lidocaine, Bupivicaine, Ropivicaine, and Tetracaine
Definition
Lido--60mg
Bupiv-- 9-15
Ropiv-- 15-22.5
Tetracaine--10-15
Term
Which drug gives the most potent spinal motor block?
Definition
Tetracaine
Term
How long does it take a spinal block to reach its most cephalad level?
Definition
20 minutes
Term
Where is the level of sensory block compared to motor and autonomic with a spinal? With an epidural?
Definition
For spinals, the autonomic is 2 levels above the sensory, which is 2 levels above the motor. For epidurals, the sensory and autonomic are on the same level, while motor is 2-4 levels lower
Term
How far is it from the skin to the epidural space?
Definition
Ranges from <3 to >8 cm....usually 4-6 cm
Term
Damage to what nerve will cause an inability to adduct the thumb? Abduct?
Definition
ADduct--median
ABduct--radial
Term
Which nerve can be damaged by an IV needle in the AC?
Definition
median
Term
Which nerve is least likely to be blocked by an axillary block?
Definition
Musculocutaneous (has already left the sheath and is in the coracobrachialis muscle)
Term
Which nerves innervate the upper medial aspect of the arms? (tourniquet areas)
Definition
Medial cutaneous and the intercostobrachial
Term
What are the six symptoms of Horner's syndrome?
Definition
Ptosis, miosis, anhydrosis, flushing, increased skin temp, and nasal congestion
Term
Which nerve is usually missed with an interscalene block?
Definition
Ulnar
Term
What is thoracic outlet syndrome? What are the implications?
Definition
Basically the brachial plexus and SC artery get compressed at the outlet of the thoracic cavity; patients going prone should have arms tucked, not forward
Term
What are the five nerves of the ankle block?
Definition
Deep peroneal, superficial peroneal, sural, posterior tibial, and saphenous
Term
What is the most common postoperative peripheral neuropathy? (which nerve)
Definition
Ulnar Nerve
Term
Injury to this nerve eventually leads to claw hand
Definition
Ulnar
Term
Injury to this nerve prevents abduction and opposition of the fifth finger
Definition
Ulnar
Term
Spreading the sternum during open heart may injure what?
Definition
The brachial plexus
Term
Which nerve is compressed when pressure is applied to the spiral groove of the humerus?
Definition
Radial
Term
Which nerve may be damaged during IV starts in the AC?
Definition
Median
Term
Which nerve damage will preclude opposition of the first and fifth digits?
Definition
Median
Term
If the patients foot has been placed in plantar flexion for an extended period of time, which nerve is most likely to be injured?
Definition
Tibial
Term
Which nerve may be compressed against the pelvic brim by a self-retaining retractor?
Definition
Femoral
Term
Where do LA's work when given epidurally?
Definition
Nerve roots, nerve rootlets, and the spinal cord
Term
Spinal headache is caused by
Definition
Lowering of CSF pressure
Term
Which dermatome range is less ideal for epidural?
Definition
L5-S1
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