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NerveStimulators Barry

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Question
Answer
show The neuromuscular junction.  
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show By blocking transmission across the neuromuscular junction(NMJ).  
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show By nerve stimulation.  
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Succinylcholine causes depolarization of the end plate just like...   show
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show Prolonged depolarization.  
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Non-depolarizing neuromuscular blockers bind to the acetylcholine receptor site. How does this change the receptor site?   show
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show A nerve stimulator.  
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Other than assessing the effects of our NMBD, why else do we use nerve stimulators?   show
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show 1 cycle/sec, duration of 0.2 sec.  
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show All muscles innervated by it will respond.  
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Why should we avoid directly stimulating the muscle fiber with a nerve stimulator?   show
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show Over the course of a nerve.  
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show Response to stimulation.  
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How do we decrease resistance when placing nerve stimulator electrodes?   show
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At the beginning of muscle relaxation therapy, it is important to get what?   show
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show Abdominal sx: TOF 1/4. Even with TOF 2/4 or 3/4, should be able to maintain adequate relaxation with good anesthesia.  
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How many twitches are necessary for reversal?   show
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What is better to assess reversal, TOF or single twitch?   show
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show False.  
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show Single twitch, double burst, train of four(TOF), and tetany.  
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What frequency is single twitch usually delivered at?   show
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show As a control twitch, to which subsequent twitches are compared.  
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How is your assessment of single twitch expressed?   show
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TOF is four successive twitches. How many hertz and how long?   show
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TOF is expressed as...   show
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show Relaxation increases.  
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How does TOF respond to 100% receptor blockade?   show
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show No twitches but diaphragm may move.  
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show 90%. This is adequate relaxation for abdominal procedures.  
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Your patient has 4 twitches on TOF; VC and TV can be normal. How much of his receptors can still be blocked?   show
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It is possible to pass inspiratory pressure test with how much receptor blockade?   show
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show A sustained contraction of 5sec.usually at 50 or 100 Hz.  
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show Adequate recovery from blockade.  
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show Consists of three short high frequ. Bursts (50 Hz) separated by 0.2 msec followed 750 msec later by another three of the same.  
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show Double burst.  
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show Two twitches; diminished; no fade  
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Your patient has a non-depolarizing block on board and you've just administered double burst. What will you see?   show
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True or false: an intubating dose of Succinylcholine will leave your patient still able to respond to TOF 1/4.   show
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show 2.5 minutes.  
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2.5 minutes after giving Succinylcholine, when the NMJ begins to recover, what will be the response to TOF stimulation?   show
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show A tetanic stimulus (50 per second) will produce a tetanic response of small but sustained intensity.  
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show TOF stimulus applied after the tetanic stimulus produces a muscle response equal in intensity and character to the original series of stimuli.  
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show True.  
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True or false: After administering an intubating dose of non-depolarizing muscle relaxant, response to TOF will usually disappear, and time to recovery depends on the agent used.   show
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After giving a non-depolarizing muscle relaxant, what is response to tetany?   show
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show Response to TOF following tetanus is increased, yet still diminishes as before.  
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What muscle is stimulated by the ulnar nerve?   show
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Where is the ulnar nerve found?   show
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show Orbicularis oculi.  
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show The diaphragm and laryngeal adductors.  
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What does stimulation of the post tibial nerve cause?   show
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What muscle does the mandibular nerve stimulate?   show
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show Electrode in front of and below zygomatic arch and forehead.  
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show Laryngeal, abdominal, and diaphragmatic muscles.  
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Because it is not one of the first to recover, what is the best muscle to monitor for reversal?   show
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