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Author Question: Vecuronium will be administered to a surgical patient to facilitate intubation and achieve balanced ... (Read 51 times)

tsand2

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on: Jul 23, 2018
Vecuronium will be administered to a surgical patient to facilitate intubation and achieve balanced anesthesia. This medication induces paralysis by
 
  A) antagonizing acetylcholine receptors at neuromuscular junctions.
  B) potentiating the effects of acetylcholinesteras e in synapses.
  C) crossing the bloodbrain barrier and agonizing cerebellar function.
  D) binding with serotonin and inhibiting its neuromuscular effects.

Question 2

A patient is being treated for heart failure. Which of the following is most indicative of improved health status?
 
  A) Decreased pedal edema
  B) Increased skin turgor
  C) Heart rate of 52
  D) Improved sensorium


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mmpiza

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Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Feedback:
Because vecuronium is structurally similar to ACh, it binds to the receptors on the muscle and prevents normal function of ACh, producing skeletal muscle paralysis. The drug does not influence the physiology of serotonin, the cerebellum, or acetylcholinesteras e.

Answer to Question 2

A
Feedback:
Decreased pedal edema improves cardiac output due to the fact that the patient has diminished fluid volume. Increased skin turgor indicates that the patient is well hydrated and does not have fluid volume excess. A heart rate of 52 is too slow to provide good contractility. Improved sensorium indicates adequate perfusion but is not the most indicative of improved heart failure status.


tsand2

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Reply #2 on: Jul 23, 2018
TY


mmpiza

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Reply #3 on: Jul 23, 2018
You're welcome


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