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Flashcards in Neuromuscular Blocking Agents (Ha) Deck (24)
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1

What is the brand name of Succinylcholine?

A. Anectine

B. Pavulon

C. Nimbex

D. Zemuron

A

2

What is the brand name of Pancuronium?

A. Tracrium

B. Nimbex

C. Zemuron

D. Pavulon

 

D

3

What is the brand name of Atracurium

A. Anectine

B. Pavulon

C. Nimbex

D. Tracrium

D

4

What is the brand name of Cisatracurium

A. Nimbex

B. Zemuron

D. Tracrium

E. Pavulon

A

5

What is the brand name of Rocuronium?

A. Tracrium

B. Zemuron

C. Norcurcon

D. Nimbex

B

6

What is the brand name of Vecuronium? 

A. Pavulon

B. Zemuron

C. Norcurcon

D. Tracrium

C

7

All of the following agents are considered to be Non-depolarizing NMBAs EXCEPT:

A. Pancuronium (Pavulon)

B. Atracurium (Tracrium)

C. Cisatracurium (Nimbex)

D. Rocuronium (Zemuron)

E. Succinylcholine (Anectine)

E

8

Which of the following are indications of Paralytic NMBAs?

A. Endotracheal intubation

B. Facilitate invasive mechanical ventilation

C. Reduce intracranial pressure

D. Treatment of Cerebral Palsy

E. Prevent shivering

A, B, C, E

9

The process of inserting a tube down a patient's throat and into the trachea is known as:

A. Endotracheal intubation

B. Cranial depressurization

C. Feeding tube insertion

D. none of the above

A

10

Which of the following is NOT and indications of endotracheal intubation?

A. Airway protection and mechanical ventilation

B. Respiratory failure and requires mechanical ventilation

C. General anestheisia requires mechanical ventilation

D. Feeding a patient in order to provide nourishment in times of heavy sedation for an extended procedure

E. All of these are approved indications for endotracheal intubation

D

11

What does "Airway protection" refer to when performing endotracheal intubation?

A. Protecting a patient's trachea by providing an alternate airway to prevent gastric contents from entering the trachea (preventing Aspiration)

B. Providing a phsysical structure to cover the opening of the trachea and completely prevent the entering of air and gastric contents.

C. Providing a compound that will coat the trachea and reduce irritation caused by gastric contents entering the trachea.

D. None of the above

A

12

Which of these patients would require Endotracheal Intubation?

A. Patients with airway obstruction

B. Patients wieht laryngeal edema

C. Patients with hypoxia due to COPD and Asthma exacerbations

D. Patients that are heavily sedated (general anesthesia)

E. All of the above

 

E

Patients under general anesthesia could experience respiratory depression from the anesthesia and may require endotracheal intubation.

13

What type of physiological responses can be seen when a patient is undergoing endotracheal intubation?

A. Increased heart rate and blood pressure (SNS stimulation)

B. Bronchospasms (PNS stimulation)

C. Tracheal reflexes caused by endotracheal tube

D. All of the above

 

D

The reason you will see increased SNS and PNS responses is because the trachea, larynx and pharynx all have nerves that will respond to the endotracheal tube being inserted and cause these reactions. Thats why we give these paralytic medications in order to blunt those physiological responses.

14

T/F Before endotracheal intubation can occur the patient should be pretreated with medication in order to reduce the physiological response to the endeotracheal tube. 

T

15

What is the correct order of events when Intubating a patient?

I: Rapid Temporary paralysis

II. Pretreatment

III. Induction (sedation)

A. I, II, II

B. III, II, I

C. II, III, I

D. II, I, III

C

16

What is the purpose of sedating a patient undergoing endotracheal intubation? (Select All)

A. Renders them unconcious

B. Prevents adverse reflex responses such as Tachycardia, HTN and elevated intracranial pressure

C. Rapid temporary paralysis

D. Prevents adverse reflex responses (relaxes vocal cords, blocks gag reflex, minimizes aspiration risk)

A, B

17

What is the purpose of a NMBA in Endotracheal intubation (Select All)

A. Rapid temporary paralysis

B. Render patient unconcious and cause sedation

C. Relieves pain and anxiety from procedure

D. Prevents adverse reflex responses (relaxes vocal cords, blocks gag reflex, minimizes aspiration risk)

A, D

18

Which of the following are Adverse effects of succinylcholine?

A. Rabdomyolysis

B. Muscle fasiculations

C. Hyperkalemia

D. Malignant hyperthermia

E. All of the above

E

19

Which side effect do rocuronium and vecurondium have in common?

A. Rhabdomyolysis

B. Malignant Hyperthermia

C. Hyperkalemia

D. Muscle fasiculations

E. Myopathy

E

20

For Invasive Mechanical Ventilation, what is the purpose of sedatives? (Select All)

A. Patient comfort

B. Control pain

C. Reduce anxiety and agitation

D. Induce quick temporary paralysis

E. Facilitate mechanical ventilation

A, B, C, E

21

What are the indications for NMBA use in mechanical ventilation? (select all)

A. Sedation insufficient to provide effective lung ventilation (Refractory hypoxemia, patient ventilator asynchrony)

B. Upon patient request

C. When sedation with the typical sedatives is not enough to prevent the lungs from breathing against the mecahanical ventillator

D. A and C

D

22

What are the indications for spasmolytic medications? (select all)

A. Increased spasticity

B. Musculoskeletal conditions such muscle spasms

C. Multiple sclerosis

D. Surgery preparation

E. Endotracheal intubation

A, B, C

23

Which of the following caused increased Spasticity

A. Spinal cord injury 

B. Cerebral palsy

C. Multiple sclerosis

D. Stroke 

E. All of the above

E

24