Nagelhout-Pharm 2-Exam 1 Actual UPDATED

Nagelhout-Pharm 2-Exam 1 (Actual / ) UPDATED 122 Questions And 100% Verified CORRECT Answers

Ultra short acting neuromuscular blocker (Length of duration) Succinylcholine (5 - 15 minutes)

Depolarizing NMB Succinylcholine

Posttetanic Count Test 50 Hz stimulus for 5 sec → 3 sec pause → 1 Hz single twitch every second Only used when patient is 100% paralyzed More post-tetanic twitches = closer to recovery

Sequence of muscle paralysis

• Eyelids (Protective muscles of pharynx)
• Extremities
• Chest (neck downward) 1 / 4

• Abdominal muscles
• Diaphragm

Muscles not affected by NMBs (4)

• Cardiac muscle

Smooth muscle:

• Bronchi (can't treat bronchospasm with NMBs)
• Uterus
• GI/bowels

Peripheral nerve stimulator should be at least ___ mA 30

Cisatracurium doses

1. ED95

• Intubating dose
• Time to onset
• Duration of action
• 0.05 mg/kg
• 0.1 mg/kg
• 2-4 minutes
• Intermediate, 30-60 minutes 2 / 4

Rocuromium doses

1. ED95

• Intubating dose
• Time to onset
• Duration of action
• 0.3 mg/kg
• 1 mg/kg
• 1-3 minutes**
• Intermediate, 30-60 minutes

Vecuronium doses

1. ED95

• Intubating dose
• Time to onset
• Duration of action
• 0.05 mg/kg
• 0.1 mg/kg
• 2-4 minutes
• Intermediate, 30-60 minutes

• / 4

Pancuronium doses

1. ED95

• Intubating dose
• Time to onset
• Duration of action
• 0.05 mg/kg
• 0.08-1.8 mg/kg
• 2-4 minutes
• Long, 60-90

Clinical signs of recovery from NMB (14)

• Adequate tidal volume
• Respirations smooth unlabored
• Opens eyes widely, no diplopia
• Sustained protrusion/purposeful tongue movement
• Effective swallowing/bite
• Sustain head for 5 sec
• Arm lift, touch opposite shoulder
• Strong hand grip
• Effective cough
• Adequate vital capacity (15mL/kg)
• Adequate inspiratory force (25-30 cm H2O neg. pressure)
• Sustained tetanic response (no fade x5 sec)
• / 4