Help Please

[ssstrong]

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Hi , Please I searched the whole internet and books for this solution and i didn't find any thing :

Patient using digitalis may interact with anesthetic drugs during surgery by:
a- tolerance to anesthetic drugs.
b- Cardiac dysrhthmia.
c- Prolongation of muscle relaxant time.
d- Depression of suprarenal cortex.
Calcium channel blocker may cause during anesthesia:
a- Bleeding tendency.
b- Hypokaemia.
c- Depression of suprarenal gland.
d- Hypotension.
The quadrant of anesthesia include the following:
a- Suppression of reflexes.
b- Suppression of stress response.
c- Narcosis.
d- Relaxation of skeletal muscle.
e- Non of the above .

 

[gasorrad]

I would have to say b for the first one, d for the second one and abcd for the last one provided thats an option

 

[Idiopathic]

the whole internet, you say

 

[Gern Blansten]

Those are strangely worded questions. Where are they from? What is a quadrant of anesthesia?
If that is exactly how the questions were worded on an exam, it may be that the person who wrote the exam does not speak English.

 

[Gern Blansten]

the whole internet, you say

I searched the whole internet once. It took over two hours. I was dead tired afterwards.

 

[pgg]

I searched the whole internet once. It took over two hours. I was dead tired afterwards.

You must've had a fast internet connection from DirecTV!

http://adland.tv/commercials/directv-end-internet-2001-030-usa



There must be something wrong with me to remember a ridiculous commercial from 2001 ...

 

[BLADEMDA]

I would have to say b for the first one, d for the second one and abcd for the last one provided thats an option

Agree. Nice job👍

 

[fakin' the funk]

The quadrant of anesthesia include the following:
a- Suppression of reflexes.
b- Suppression of stress response.
c- Narcosis.
d- Relaxation of skeletal muscle.
e- Non of the above .

Although the English is dodgy, and I'm not sure what "narcosis" quite means, this is a good question. I think the answer is E, since the only truly necessary components of anesthesia are immobility and amnesia. Definitely not A or B.

 

[Idiopathic]

Although the English is dodgy, and I'm not sure what "narcosis" quite means, this is a good question. I think the answer is E, since the only truly necessary components of anesthesia are immobility and amnesia. Definitely not A or B.

not true, anesthesia consists of anxiolysis, analgesia, autonomic areflexia and relaxation. the answer is D, i think

 

[fakin' the funk]

not true, anesthesia consists of anxiolysis, analgesia, autonomic areflexia and relaxation. the answer is D, i think

Eger disagrees. Quoting from The Pharmacology of Inhaled Anesthetics,

"It is surprising that so many intelligent people (anesthetists) can differ on what constitutes anesthesia. Most believe that anesthesia consists of diverse elements, including muscle relaxation, unconsciousness, analgesia, and suppression of autonomic reflexes. We argue that although these may be clinically desirable effects, they are not crucial to the anesthetic state. Only two qualities apply to all inhaled compounds that produce the state we call anesthesia, a reversible state mediated by the central nervous system: immobility in response to a noxious stimulus (absent, of course, paralysis with muscle relaxants) and amnesia. If these two qualities are crucial, then other qualities (including unconsciousness) are not crucial or are irrelevant."

 

[lushmd]

Eger disagrees. Quoting from The Pharmacology of Inhaled Anesthetics,

"It is surprising that so many intelligent people (anesthetists) can differ on what constitutes anesthesia. Most believe that anesthesia consists of diverse elements, including muscle relaxation, unconsciousness, analgesia, and suppression of autonomic reflexes. We argue that although these may be clinically desirable effects, they are not crucial to the anesthetic state. Only two qualities apply to all inhaled compounds that produce the state we call anesthesia, a reversible state mediated by the central nervous system: immobility in response to a noxious stimulus (absent, of course, paralysis with muscle relaxants) and amnesia. If these two qualities are crucial, then other qualities (including unconsciousness) are not crucial or are irrelevant."

I can appreciate the author's point although I respectfully disagree. Do you believe that an effective/acceptable (whatever that means) general anesthetic can be achieved via administration of inhaled anesthetic agents alone? After all, that's what they're implying.

 

[Idiopathic]

fair enough, id argue that its extremely subjective, at best, and if the question is of "absolute minimum necessities for anesthesia" then perhaps yes, immobility and amnesia are the only musts, but when i read "quadrant of anesthesia" well then i dont even know what that means.

 

[BLADEMDA]

fair enough, id argue that its extremely subjective, at best, and if the question is of "absolute minimum necessities for anesthesia" then perhaps yes, immobility and amnesia are the only musts, but when i read "quadrant of anesthesia" well then i dont even know what that means.

That's the point. Nobody knows what the heck Quadrant of anesthesia means.😉

 

[Gern Blansten]

That's the point. Nobody knows what the heck Quadrant of anesthesia means.😉

I assume it is similar to a "Fortress of Solitude" or a "Cone of Silence."

 

[ssstrong]

Hello , Thank You All .

yes no one know what "Quadrant of Anesthesia" Mean , i even searched anesthesia books and no one mentioned what is this term, but for the first two , the correct answer will be Cardiac dysrhthmia for digitalis and hypotension for Ca channel blocker Right ?

 

[fakin' the funk]

I can appreciate the author's point although I respectfully disagree. Do you believe that an effective/acceptable (whatever that means) general anesthetic can be achieved via administration of inhaled anesthetic agents alone? After all, that's what they're implying.

Umm...of course I believe that.

 

[Gern Blansten]

Umm...of course I believe that.

Yeah, have done it many times for various procedures.
BMT's come to mind.

 

[lushmd]

Yeah, have done it many times for various procedures.
BMT's come to mind.

That's the thing. Sure, this can be true in a very minimalist/narrowly construed sense. Having said that, I can't recall ever giving a general anesthetic and only using an inhaled agent (granted, this is just my experience); even BMTs (kids were given PR tylenol and IV toradol using a TB syringe).

 

[countingdays]

Since the question asks about a quadrant, A B C D is a reasonable answer.